Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $176.96 / $176.96	Professional		$176.96	$176.96	$176.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.22 / $259.22 / $259.22	Facility		$259.22	$259.22	$259.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.22 / $259.22 / $259.22	Professional		$259.22	$259.22	$259.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.22 / $259.22 / $259.22	Facility		$259.22	$259.22	$259.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.22 / $310.00 / $364.72	Professional		$259.22	$310.00	$364.72
United Facility/Professional Professional Modifier Low / Median / High Price $216.94 / $257.92 / $456.01	Professional		$216.94	$257.92	$456.01