Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $151.74 / $174.02	Professional		$139.21	$151.74	$174.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.05 / $167.05 / $295.06	Facility		$167.05	$167.05	$295.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $167.05	Professional		$139.21	$139.21	$167.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $149.78 / $183.76	Facility		$64.20	$149.78	$183.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $164.26 / $177.30	Professional		$139.21	$164.26	$177.30
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21