Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $107.77 / $397.77	Professional		$106.70	$107.77	$397.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $42.81 / $341.06	Facility		$42.81	$42.81	$341.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $42.81 / $106.70	Professional		$40.69	$42.81	$106.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $106.70 / $259.64	Facility		$42.81	$106.70	$259.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $115.76 / $188.91	Professional		$42.81	$115.76	$188.91
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70