Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $102.62 / $102.62	Professional		$102.62	$102.62	$102.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $353.36	Facility		$210.68	$210.68	$353.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $217.00 / $346.50	Professional		$210.68	$217.00	$346.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $215.25 / $353.36	Facility		$109.34	$215.25	$353.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $319.81 / $415.17	Professional		$210.68	$319.81	$415.17
United Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $142.69 / $173.67	Professional		$136.94	$142.69	$173.67