Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $97.49 / $117.07	Professional		$47.72	$97.49	$117.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $193.13	Facility		$162.47	$162.47	$193.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $162.47 / $362.07	Professional		$102.47	$162.47	$362.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $82.87 / $162.47	Facility		$47.04	$82.87	$162.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $134.28 / $174.34	Professional		$66.41	$134.28	$174.34
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $149.77 / $175.08	Professional		$128.66	$149.77	$175.08