Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $116.13 / $649.82	Professional		$97.88	$116.13	$649.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $169.83 / $209.95	Facility		$113.07	$169.83	$209.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $186.24 / $248.75	Professional		$135.55	$186.24	$248.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $196.54 / $298.54	Facility		$109.91	$196.54	$298.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $171.31 / $302.52	Professional		$114.20	$171.31	$302.52
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $135.69 / $202.19	Professional		$115.13	$135.69	$202.19