Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $107.74 / $157.49	Professional		$97.31	$107.74	$157.49
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 $97.31 / $125.41 / $189.81	Facility		$97.31	$125.41	$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 $188.77 / $212.85 / $297.67	Professional		$188.77	$212.85	$297.67