Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $86.35 / $86.35	Professional		$86.35	$86.35	$86.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $281.77	Facility		$128.30	$128.30	$281.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $128.30	Professional		$88.43	$88.43	$128.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $281.77	Facility		$128.30	$128.30	$281.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $111.83 / $153.43	Professional		$85.52	$111.83	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70