Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $39.97 / $45.84	Professional		$36.67	$39.97	$45.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $107.70	Facility		$53.35	$53.35	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $53.35	Professional		$36.67	$36.67	$53.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $53.35 / $410.07	Facility		$36.67	$53.35	$410.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $52.78 / $58.50	Professional		$36.67	$52.78	$58.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67