Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $174.93 / $247.61	Professional		$173.17	$174.93	$247.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $170.06 / $212.08	Facility		$120.45	$170.06	$212.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $185.71 / $10,000.00	Professional		$101.80	$185.71	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $105.81 / $151.79	Professional		$95.63	$105.81	$151.79