Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $237.74 / $237.74	Facility		$237.74	$237.74	$237.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $237.74 / $237.74	Professional		$237.74	$237.74	$237.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $237.74 / $237.74	Facility		$237.74	$237.74	$237.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $147.56 / $237.74	Professional		$147.56	$147.56	$237.74
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $163.96	Professional		$68.86	$68.86	$163.96