Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $114.55 / $114.55	Professional		$106.20	$114.55	$114.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Facility		$166.68	$166.68	$166.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $150.01 / $166.68	Professional		$141.68	$150.01	$166.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.37 / $72.01 / $105.15	Facility		$52.37	$72.01	$105.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $114.71 / $186.75	Professional		$60.00	$114.71	$186.75
United Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $161.75 / $183.06	Professional		$104.24	$161.75	$183.06