Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $88.62 / $506.98	Professional		$77.73	$88.62	$506.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $184.10 / $538.14	Facility		$136.88	$184.10	$538.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $136.88 / $136.88	Professional		$136.88	$136.88	$136.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $184.10 / $538.14	Facility		$136.88	$184.10	$538.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $84.97 / $118.01	Professional		$84.97	$84.97	$118.01
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $39.65 / $40.52	Professional		$38.54	$39.65	$40.52