Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $91.16	Professional		$91.16	$91.16	$91.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $65.81 / $141.88	Facility		$33.40	$65.81	$141.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $119.36 / $186.68	Professional		$95.59	$119.36	$186.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $119.36 / $166.35	Facility		$34.84	$119.36	$166.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $110.65 / $168.67	Professional		$73.76	$110.65	$168.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,427.98 / $2,427.98 / $2,427.98	Facility		$2,427.98	$2,427.98	$2,427.98
United Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $144.43 / $171.35	Professional		$109.49	$144.43	$171.35