Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $181.59 / $181.59	Professional		$181.59	$181.59	$181.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.19 / $340.19 / $340.19	Facility		$340.19	$340.19	$340.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.16 / $340.19 / $340.19	Professional		$289.16	$340.19	$340.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $171.62 / $340.19	Facility		$128.16	$171.62	$340.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.16 / $340.19 / $375.08	Professional		$289.16	$340.19	$375.08
United Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $299.73 / $326.52	Professional		$269.25	$299.73	$326.52