Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $162.62 / $162.62	Professional		$162.62	$162.62	$162.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $54.16 / $64.38	Facility		$54.16	$54.16	$64.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $54.16 / $54.16	Professional		$54.16	$54.16	$54.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $54.16 / $64.38	Facility		$54.16	$54.16	$64.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $293.64 / $345.49	Professional		$54.16	$293.64	$345.49
United Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $168.54 / $275.52	Professional		$167.21	$168.54	$275.52