Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $168.16 / $168.16	Professional		$22.97	$168.16	$168.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $63.45 / $63.45	Facility		$33.35	$63.45	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $63.45 / $63.45	Professional		$33.35	$63.45	$63.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $60.43 / $63.45	Facility		$29.75	$60.43	$63.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $47.62 / $63.49	Professional		$33.35	$47.62	$63.49
United Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $30.82 / $33.29	Facility		$30.82	$30.82	$33.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.63 / $30.48	Professional		$24.17	$26.63	$30.48