Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $91.14 / $398.08	Professional		$75.00	$91.14	$398.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $144.88 / $144.88	Facility		$86.21	$144.88	$144.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $117.81 / $144.88	Professional		$86.21	$117.81	$144.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $137.97 / $144.88	Facility		$76.93	$137.97	$144.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $108.74 / $144.97	Professional		$86.21	$108.74	$144.97
United Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $68.83 / $105.34	Professional		$62.21	$68.83	$105.34