Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $475.08 / $475.08	Professional		$136.97	$475.08	$475.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $131.46 / $131.46	Facility		$99.25	$131.46	$131.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $131.46 / $131.46	Professional		$94.08	$131.46	$131.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $125.20 / $131.46	Facility		$69.80	$125.20	$131.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $100.85 / $143.97	Professional		$98.67	$100.85	$143.97
United Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $94.11 / $98.90	Facility		$94.11	$94.11	$98.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $62.46 / $99.06	Professional		$56.45	$62.46	$99.06