Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $66.48 / $94.57	Professional		$57.91	$66.48	$94.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $116.73	Facility		$116.73	$116.73	$116.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $116.73 / $116.73	Professional		$82.19	$116.73	$116.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $76.51 / $116.73	Facility		$57.91	$76.51	$116.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $101.74 / $119.70	Professional		$68.75	$101.74	$119.70
United Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $127.03 / $179.59	Professional		$113.89	$127.03	$179.59