Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $211.36 / $211.36	Professional		$211.36	$211.36	$211.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $273.94 / $325.63	Facility		$273.94	$273.94	$325.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $273.94 / $273.94	Professional		$273.94	$273.94	$273.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $273.94 / $325.63	Facility		$273.94	$273.94	$325.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $382.31 / $449.80	Professional		$273.94	$382.31	$449.80
United Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $190.56 / $385.34	Professional		$185.04	$190.56	$385.34