Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $197.62 / $1,095.80	Professional		$131.91	$197.62	$1,095.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $275.58 / $383.34	Professional		$229.12	$275.58	$383.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $250.34 / $365.93	Professional		$164.38	$250.34	$365.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $178.65 / $341.61	Professional		$165.34	$178.65	$341.61