Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $92.72 / $92.72	Professional		$92.72	$92.72	$92.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $136.71 / $162.50	Facility		$136.71	$136.71	$162.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $136.71 / $136.71	Professional		$136.71	$136.71	$136.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $136.71 / $162.50	Facility		$136.71	$136.71	$162.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $165.37 / $194.57	Professional		$136.71	$165.37	$194.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $153.13 / $176.89	Professional		$137.29	$153.13	$176.89