Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $357.12 / $357.12	Professional		$63.87	$357.12	$357.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $108.30 / $164.12	Facility		$80.53	$108.30	$164.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $80.02 / $80.53	Professional		$64.02	$80.02	$80.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $108.30 / $164.12	Facility		$80.53	$108.30	$164.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $80.53	Professional		$49.99	$49.99	$80.53
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $55.54	Professional		$23.33	$23.33	$55.54