Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $227.51 / $227.51	Professional		$227.51	$227.51	$227.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.64 / $369.64 / $439.38	Facility		$369.64	$369.64	$439.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.64 / $369.64 / $369.64	Professional		$369.64	$369.64	$369.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.64 / $369.64 / $439.38	Facility		$369.64	$369.64	$439.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.64 / $453.60 / $508.98	Professional		$369.64	$453.60	$508.98
United Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $318.58 / $377.99	Professional		$275.39	$318.58	$377.99