Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $98.64 / $98.64	Professional		$98.64	$98.64	$98.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $165.92	Facility		$165.92	$165.92	$165.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $164.68 / $165.92	Professional		$131.75	$164.68	$165.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $165.92	Facility		$165.92	$165.92	$165.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $77.19 / $107.21	Professional		$77.19	$77.19	$107.21
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $40.03 / $95.30	Professional		$36.02	$40.03	$95.30