Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $87.28 / $87.28	Professional		$81.41	$87.28	$87.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $119.36 / $119.36	Facility		$119.36	$119.36	$119.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $107.42 / $119.36	Professional		$101.46	$107.42	$119.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $47.96 / $119.36	Facility		$47.96	$47.96	$119.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $119.36 / $167.19	Professional		$101.46	$119.36	$167.19
United Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $131.65 / $145.28	Professional		$106.69	$131.65	$145.28