Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $101.01 / $533.11	Professional		$88.87	$101.01	$533.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Facility		$163.00	$163.00	$163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $163.00 / $300.89	Professional		$100.29	$163.00	$300.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.62 / $131.09 / $196.71	Facility		$86.62	$131.09	$196.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $165.27 / $274.94	Professional		$106.76	$165.27	$274.94
United Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $177.59 / $217.26	Professional		$144.84	$177.59	$217.26