Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $122.80 / $122.80	Professional		$102.50	$122.80	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $126.35 / $126.35	Facility		$126.35	$126.35	$126.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $126.35	Professional		$102.94	$102.94	$126.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $126.35 / $126.35	Facility		$126.35	$126.35	$126.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $111.68 / $177.00	Professional		$102.94	$111.68	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94