Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $71.77 / $425.63	Professional		$56.71	$71.77	$425.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $109.37 / $152.83	Facility		$87.92	$109.37	$152.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $136.01 / $165.88	Professional		$99.88	$136.01	$165.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $152.83 / $227.74	Facility		$69.25	$152.83	$227.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $120.02 / $173.47	Professional		$67.15	$120.02	$173.47
United Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $102.62 / $133.29	Professional		$82.18	$102.62	$133.29