Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $106.46 / $566.58	Professional		$96.76	$106.46	$566.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $165.63 / $165.63	Facility		$165.63	$165.63	$165.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $165.63 / $305.72	Professional		$107.16	$165.63	$305.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $161.66 / $213.79	Facility		$101.40	$161.66	$213.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $168.77 / $281.23	Professional		$109.71	$168.77	$281.23
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $183.49 / $224.48	Professional		$152.38	$183.49	$224.48