Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $543.71 / $543.71	Professional		$74.25	$543.71	$543.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $204.97 / $204.97	Facility		$107.78	$204.97	$204.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $204.97 / $204.97	Professional		$107.78	$204.97	$204.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $195.21 / $204.97	Facility		$96.17	$195.21	$204.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $153.84 / $205.12	Professional		$107.78	$153.84	$205.12
United Facility/Professional Facility Modifier Low / Median / High Price $99.63 / $99.63 / $107.57	Facility		$99.63	$99.63	$107.57
United Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $86.05 / $131.68	Professional		$77.77	$86.05	$131.68