Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $114.33 / $603.23	Professional		$105.74	$114.33	$603.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $184.03 / $184.03	Facility		$184.03	$184.03	$184.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $184.03 / $343.13	Professional		$114.62	$184.03	$343.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.13 / $152.75 / $232.76	Facility		$113.13	$152.75	$232.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $186.56 / $310.88	Professional		$121.27	$186.56	$310.88
United Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $145.72 / $11,905.62	Facility		$145.72	$145.72	$11,905.62
United Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $201.20 / $246.14	Professional		$163.11	$201.20	$246.14