Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $160.10 / $365.75	Professional		$58.34	$160.10	$365.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $193.13	Facility		$162.47	$162.47	$193.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $162.47 / $244.11	Professional		$146.22	$162.47	$244.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $162.47 / $365.75	Facility		$58.34	$162.47	$365.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $162.47 / $282.95	Professional		$162.47	$162.47	$282.95
United Facility/Professional Professional Modifier Low / Median / High Price $383.60 / $395.05 / $594.14	Professional		$383.60	$395.05	$594.14