Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $198.72 / $198.72	Professional		$198.72	$198.72	$198.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.60 / $297.60 / $297.60	Facility		$297.60	$297.60	$297.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $297.60 / $297.60	Professional		$252.96	$297.60	$297.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $26.51 / $200.79	Facility		$18.23	$26.51	$200.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $27.07 / $356.53	Professional		$14.93	$27.07	$356.53
United Facility/Professional Professional Modifier Low / Median / High Price $470.33 / $519.42 / $560.10	Professional		$470.33	$519.42	$560.10