Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $613.53 / $613.53	Professional		$176.89	$613.53	$613.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $173.29 / $173.29	Facility		$99.66	$173.29	$173.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $140.94 / $173.29	Professional		$99.66	$140.94	$173.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $165.04 / $173.29	Facility		$88.91	$165.04	$173.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $130.07 / $178.16	Professional		$99.66	$130.07	$178.16
United Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $79.56 / $126.19	Professional		$71.92	$79.56	$126.19