Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $157.34 / $157.34	Professional		$157.34	$157.34	$157.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Facility		$248.18	$248.18	$248.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Professional		$248.18	$248.18	$248.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Facility		$248.18	$248.18	$248.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $281.70 / $331.43	Professional		$248.18	$281.70	$331.43
United Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $264.32 / $313.60	Professional		$228.48	$264.32	$313.60