Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $111.31 / $163.22	Professional		$77.09	$111.31	$163.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.81 / $189.81 / $189.81	Facility		$189.81	$189.81	$189.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $189.81 / $189.81	Professional		$134.46	$189.81	$189.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $123.02 / $189.81	Facility		$99.19	$123.02	$189.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $165.45 / $194.65	Professional		$110.98	$165.45	$194.65
United Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $215.18 / $267.77	Professional		$192.92	$215.18	$267.77