Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $125.10 / $241.20	Professional		$117.46	$125.10	$241.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $142.87 / $142.87	Facility		$90.79	$142.87	$142.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $125.10 / $135.97	Professional		$58.29	$125.10	$135.97
United Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $60.58 / $100.97	Professional		$57.88	$60.58	$100.97