Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $72.47 / $95.41	Professional		$53.62	$72.47	$95.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $108.31 / $108.31	Facility		$108.31	$108.31	$108.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $92.06 / $111.16	Professional		$1.76	$92.06	$111.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $76.70 / $123.97	Facility		$59.82	$76.70	$123.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $81.45 / $109.44	Professional		$22.00	$81.45	$109.44
United Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $118.32 / $147.96	Professional		$73.00	$118.32	$147.96