Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $560.82 / $560.82	Professional		$161.69	$560.82	$560.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $211.43 / $211.43	Facility		$120.62	$211.43	$211.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $171.94 / $211.43	Professional		$120.62	$171.94	$211.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $201.36 / $211.43	Facility		$99.19	$201.36	$211.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $158.69 / $211.58	Professional		$120.62	$158.69	$211.58
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $88.76 / $159.58	Professional		$80.23	$88.76	$159.58