Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $397.25 / $397.25	Professional		$54.25	$397.25	$397.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $117.12 / $117.12	Facility		$75.47	$117.12	$117.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $95.23 / $117.12	Professional		$75.47	$95.23	$117.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $111.54 / $117.12	Facility		$57.58	$111.54	$117.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $87.90 / $117.20	Professional		$75.47	$87.90	$117.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $51.52 / $81.70	Professional		$46.56	$51.52	$81.70