Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $117.22 / $117.22	Professional		$117.22	$117.22	$117.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $155.00	Facility		$130.40	$130.40	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Professional		$130.40	$130.40	$130.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $155.00	Facility		$130.40	$130.40	$155.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $198.70 / $233.78	Professional		$130.40	$198.70	$233.78
United Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $341.05 / $389.77	Professional		$78.66	$341.05	$389.77