Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $335.15 / $335.15	Professional		$86.71	$335.15	$335.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.99 / $121.99 / $145.00	Facility		$121.99	$121.99	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $103.69 / $121.99	Professional		$58.03	$103.69	$121.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $88.50 / $121.99	Facility		$71.87	$88.50	$121.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $112.59 / $150.87	Professional		$75.05	$112.59	$150.87
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $102.08 / $110.73	Professional		$55.86	$102.08	$110.73