Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $93.08 / $132.75	Professional		$81.39	$93.08	$132.75
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 $81.39 / $107.01 / $163.52	Facility		$81.39	$107.01	$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 $161.65 / $179.86 / $286.75	Professional		$161.65	$179.86	$286.75