Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $210.31 / $210.31	Professional		$210.31	$210.31	$210.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.42 / $324.42 / $324.42	Facility		$324.42	$324.42	$324.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $324.42 / $324.42	Professional		$324.42	$324.42	$324.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $197.74 / $324.42	Facility		$92.55	$197.74	$324.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $388.60 / $457.20	Professional		$324.42	$388.60	$457.20
United Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $352.21 / $571.64	Professional		$299.36	$352.21	$571.64