Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $170.95 / $221.62	Professional		$169.23	$170.95	$221.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $138.63 / $189.82	Facility		$107.81	$138.63	$189.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $181.49 / $10,000.00	Professional		$91.11	$181.49	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $94.70 / $142.65	Professional		$85.59	$94.70	$142.65