Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $85.66 / $145.00	Professional		$51.61	$85.66	$145.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.75 / $147.75 / $175.63	Facility		$147.75	$147.75	$175.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $221.99	Professional		$147.75	$147.75	$221.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $145.00 / $175.63	Facility		$51.61	$145.00	$175.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $221.99	Professional		$147.75	$147.75	$221.99
United Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $89.97 / $154.65	Professional		$87.36	$89.97	$154.65