Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $26.81 / $108.93	Professional		$13.89	$26.81	$108.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $42.27 / $128.82	Professional		$28.86	$42.27	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $55.04 / $106.59	Facility		$20.05	$55.04	$106.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.50 / $128.82	Professional		$21.38	$35.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $126.54 / $148.74	Professional		$101.50	$126.54	$148.74