Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Professional		$212.98	$212.98	$212.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Facility		$268.54	$268.54	$268.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Professional		$268.54	$268.54	$268.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Facility		$268.54	$268.54	$268.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $268.54	Professional		$166.68	$166.68	$268.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $185.20	Professional		$77.78	$77.78	$185.20