Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $104.40 / $549.64	Professional		$91.19	$104.40	$549.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $166.15 / $166.15	Facility		$166.15	$166.15	$166.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $166.15 / $295.60	Professional		$103.94	$166.15	$295.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $152.81 / $194.44	Facility		$102.51	$152.81	$194.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $171.47 / $285.72	Professional		$110.98	$171.47	$285.72
United Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $185.26 / $226.64	Professional		$148.91	$185.26	$226.64