Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $347.45 / $347.45	Professional		$47.45	$347.45	$347.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $115.45 / $115.45	Facility		$64.52	$115.45	$115.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $93.87 / $115.45	Professional		$64.52	$93.87	$115.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $109.95 / $115.45	Facility		$57.57	$109.95	$115.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $86.64 / $115.55	Professional		$64.52	$86.64	$115.55
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $51.52 / $78.83	Professional		$46.56	$51.52	$78.83