Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $72.37 / $111.95	Professional		$42.84	$72.37	$111.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $114.62 / $136.25	Facility		$114.62	$114.62	$136.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $114.62 / $172.22	Professional		$103.16	$114.62	$172.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $111.95 / $136.25	Facility		$42.84	$111.95	$136.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $125.79 / $172.22	Professional		$114.62	$125.79	$172.22
United Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $76.33 / $131.19	Professional		$74.11	$76.33	$131.19