Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $93.83 / $135.54	Professional		$65.26	$93.83	$135.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.52 / $163.52 / $163.52	Facility		$163.52	$163.52	$163.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $163.52 / $163.52	Professional		$115.14	$163.52	$163.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $104.97 / $163.52	Facility		$85.13	$104.97	$163.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $142.53 / $167.69	Professional		$96.17	$142.53	$167.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $179.86 / $250.09	Professional		$158.60	$179.86	$250.09