Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Professional		$98.32	$98.32	$98.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.96 / $151.96 / $151.96	Facility		$151.96	$151.96	$151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $151.96 / $184.07	Professional		$129.16	$151.96	$184.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $84.93 / $132.13	Facility		$58.39	$84.93	$132.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $99.11 / $184.07	Professional		$44.13	$99.11	$184.07
United Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $125.85 / $137.50	Professional		$113.94	$125.85	$137.50