Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $179.75 / $202.92	Professional		$113.38	$179.75	$202.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $173.48 / $242.38	Facility		$131.05	$173.48	$242.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $190.83 / $10,000.00	Professional		$104.60	$190.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $108.72 / $155.97	Professional		$98.27	$108.72	$155.97