Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $750.01 / $750.01	Professional		$102.43	$750.01	$750.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $211.79 / $211.79	Facility		$136.19	$211.79	$211.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $172.22 / $211.79	Professional		$136.19	$172.22	$211.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $201.70 / $211.79	Facility		$112.46	$201.70	$211.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $158.94 / $211.93	Professional		$136.19	$158.94	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $100.63 / $153.97	Professional		$90.95	$100.63	$153.97