Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $134.57 / $134.57	Professional		$134.57	$134.57	$134.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.74 / $585.74 / $585.74	Facility		$585.74	$585.74	$585.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.74 / $585.74 / $585.74	Professional		$585.74	$585.74	$585.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $120.74 / $585.74	Facility		$68.36	$120.74	$585.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $181.10 / $585.74	Professional		$74.95	$181.10	$585.74
United Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $255.40 / $418.92	Professional		$212.48	$255.40	$418.92