Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $614.19 / $614.19	Professional		$109.85	$614.19	$614.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $186.26 / $282.26	Facility		$138.50	$186.26	$282.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $137.32 / $138.50	Professional		$55.46	$137.32	$138.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $186.26 / $282.26	Facility		$138.50	$186.26	$282.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $85.97 / $138.50	Professional		$85.97	$85.97	$138.50
United Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $95.52 / $95.52	Facility		$95.52	$95.52	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $110.99	Professional		$40.11	$40.11	$110.99