Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $138.91 / $355.46	Professional		$127.45	$138.91	$355.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $150.06 / $405.01	Facility		$150.06	$150.06	$405.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $150.06	Professional		$127.45	$127.45	$150.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $150.06 / $405.01	Facility		$150.06	$150.06	$405.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $138.28 / $180.36	Professional		$127.45	$138.28	$180.36
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45