Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.69 / $253.15 / $253.15	Professional		$219.69	$253.15	$253.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.42 / $426.42 / $426.42	Facility		$426.42	$426.42	$426.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $383.78 / $426.42	Professional		$362.46	$383.78	$426.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $146.63 / $426.42	Facility		$146.63	$146.63	$426.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $426.42 / $452.02	Professional		$362.46	$426.42	$452.02
United Facility/Professional Professional Modifier Low / Median / High Price $335.58 / $381.64 / $434.27	Professional		$335.58	$381.64	$434.27