Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $447.10 / $447.10	Professional		$77.23	$447.10	$447.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $124.61 / $124.61	Facility		$124.61	$124.61	$124.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $124.61 / $143.75	Professional		$121.43	$124.61	$143.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $182.65 / $192.28	Facility		$62.28	$182.65	$192.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $114.05 / $164.50	Professional		$76.02	$114.05	$164.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $151.28 / $219.22	Professional		$126.88	$151.28	$219.22