Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $503.21 / $503.21	Professional		$90.00	$503.21	$503.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.48 / $152.61 / $231.26	Facility		$113.48	$152.61	$231.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $112.54 / $113.48	Professional		$60.05	$112.54	$113.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.48 / $133.04 / $231.26	Facility		$113.48	$133.04	$231.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $78.26 / $113.48	Professional		$70.43	$78.26	$113.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $78.26	Professional		$32.86	$32.86	$78.26