Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $95.22 / $95.22	Professional		$95.22	$95.22	$95.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.34 / $195.37 / $590.29	Facility		$155.34	$195.37	$590.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.34 / $209.71 / $590.29	Facility		$155.34	$209.71	$590.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $119.62 / $165.37	Professional		$84.43	$119.62	$165.37
United Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $153.69 / $291.30	Professional		$119.55	$153.69	$291.30