Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $194.22 / $194.22	Professional		$194.22	$194.22	$194.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $125.48 / $220.32	Facility		$110.72	$125.48	$220.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $125.48 / $220.32	Facility		$110.72	$125.48	$220.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00