Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $489.37 / $489.37	Professional		$66.83	$489.37	$489.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $213.24 / $213.24	Facility		$120.06	$213.24	$213.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $173.41 / $213.24	Professional		$120.06	$173.41	$213.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $203.09 / $213.24	Facility		$94.56	$203.09	$213.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $160.05 / $213.40	Professional		$120.06	$160.05	$213.40
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $84.62 / $129.47	Professional		$76.48	$84.62	$129.47