Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $126.99 / $241.04	Professional		$114.16	$126.99	$241.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $114.72 / $271.52	Facility		$114.72	$114.72	$271.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $114.72	Professional		$104.73	$104.73	$114.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $114.72 / $271.52	Facility		$114.72	$114.72	$271.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $113.62 / $148.19	Professional		$104.73	$113.62	$148.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73