Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $240.07 / $240.07	Professional		$240.07	$240.07	$240.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.97 / $406.97 / $406.97	Facility		$406.97	$406.97	$406.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.97 / $406.97 / $406.97	Professional		$406.97	$406.97	$406.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.97 / $406.97 / $406.97	Facility		$406.97	$406.97	$406.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $406.97 / $523.04	Professional		$242.69	$406.97	$523.04
United Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $400.80 / $653.97	Professional		$340.68	$400.80	$653.97