Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $202.19 / $202.19	Professional		$202.19	$202.19	$202.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.91 / $303.91 / $361.25	Facility		$303.91	$303.91	$361.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.91 / $303.91 / $303.91	Professional		$303.91	$303.91	$303.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.91 / $303.91 / $361.25	Facility		$303.91	$303.91	$361.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.91 / $303.91 / $426.86	Professional		$303.91	$303.91	$426.86
United Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $208.24 / $533.73	Professional		$176.24	$208.24	$533.73