Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $115.41 / $115.41	Professional		$115.41	$115.41	$115.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $330.27 / $637.07	Facility		$167.65	$330.27	$637.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $84.25 / $105.32	Professional		$34.36	$84.25	$105.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $217.95 / $330.27	Facility		$62.37	$217.95	$330.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $136.33 / $211.58	Professional		$93.82	$136.33	$211.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $43.35 / $103.22	Professional		$30.19	$43.35	$103.22