Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $366.03 / $437.69	Professional		$87.61	$366.03	$437.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $84.53 / $146.66	Professional		$70.34	$84.53	$146.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $105.17 / $188.10	Facility		$52.26	$105.17	$188.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $102.18 / $146.66	Professional		$73.25	$102.18	$146.66
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $138.65 / $164.50	Professional		$122.20	$138.65	$164.50