Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $283.95 / $283.95	Professional		$283.95	$283.95	$283.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $358.03	Facility		$358.03	$358.03	$358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $354.66 / $358.03	Professional		$283.73	$354.66	$358.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $358.03	Facility		$358.03	$358.03	$358.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $246.92 / $308.64	Professional		$222.23	$246.92	$308.64
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $246.92	Professional		$103.71	$103.71	$246.92