Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $107.43 / $123.03	Professional		$23.97	$107.43	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Facility		$128.30	$128.30	$128.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $115.47 / $137.59	Professional		$83.40	$115.47	$137.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $109.29 / $128.30	Facility		$37.11	$109.29	$128.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $115.47 / $139.52	Professional		$83.40	$115.47	$139.52
United Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $184.81 / $222.32	Professional		$150.93	$184.81	$222.32