Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $486.11 / $486.11	Professional		$86.94	$486.11	$486.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $147.41 / $223.40	Facility		$109.62	$147.41	$223.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $108.93 / $109.62	Professional		$14.29	$108.93	$109.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $147.41 / $223.40	Facility		$109.62	$147.41	$223.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $109.62	Professional		$68.04	$68.04	$109.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $31.75 / $75.59	Professional		$12.58	$31.75	$75.59