Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $117.20 / $142.72	Professional		$83.29	$117.20	$142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $189.29 / $248.70	Facility		$189.29	$189.29	$248.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $189.29 / $248.70	Professional		$165.74	$189.29	$248.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.86 / $135.87 / $196.55	Facility		$98.86	$135.87	$196.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $188.75 / $248.70	Professional		$115.17	$188.75	$248.70
United Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $185.85 / $258.29	Professional		$163.80	$185.85	$258.29