Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $621.51 / $621.51	Professional		$84.88	$621.51	$621.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $219.90 / $219.90	Facility		$110.15	$219.90	$219.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $178.83 / $219.90	Professional		$110.15	$178.83	$219.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $209.43 / $219.90	Facility		$98.27	$209.43	$219.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $165.05 / $220.07	Professional		$110.15	$165.05	$220.07
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $87.94 / $117.25	Professional		$79.48	$87.94	$117.25