Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $164.02 / $164.02	Professional		$164.02	$164.02	$164.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Facility		$206.81	$206.81	$206.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Professional		$206.81	$206.81	$206.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Facility		$206.81	$206.81	$206.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $128.37 / $206.81	Professional		$128.37	$128.37	$206.81
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $142.63	Professional		$59.90	$59.90	$142.63