Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $42.90	Facility		$27.60	$27.60	$42.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $28.43 / $42.06	Professional		$27.60	$28.43	$42.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $27.60 / $42.90	Facility		$13.16	$27.60	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $38.82 / $50.40	Professional		$27.60	$38.82	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.32 / $25.59	Professional		$16.27	$17.32	$25.59