Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $105.49 / $130.72	Professional		$95.90	$105.49	$130.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.67 / $192.67 / $540.14	Facility		$192.67	$192.67	$540.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $192.67	Professional		$95.90	$95.90	$192.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $220.31 / $2,116.31	Facility		$95.90	$220.31	$2,116.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $184.25 / $220.31	Professional		$122.13	$184.25	$220.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90