Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $61.52	Professional		$57.90	$60.08	$61.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.91 / $104.54 / $380.91	Facility		$89.91	$104.54	$380.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $109.84	Professional		$61.52	$61.52	$109.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $73.90 / $104.54	Facility		$60.08	$73.90	$104.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $73.90 / $126.51	Professional		$61.52	$73.90	$126.51
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $60.32	Professional		$60.32	$60.32	$60.32