Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $645.05 / $645.05	Professional		$126.70	$645.05	$645.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $190.87 / $201.37	Professional		$143.79	$190.87	$201.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $173.74 / $250.60	Professional		$115.81	$173.74	$250.60
United Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $210.59 / $333.92	Professional		$179.52	$210.59	$333.92