Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $301.20 / $462.61	Professional		$174.08	$301.20	$462.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.64 / $471.64 / $560.63	Facility		$471.64	$471.64	$560.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $708.63	Professional		$471.64	$471.64	$708.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $462.61 / $514.46	Facility		$174.08	$462.61	$514.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $272.26 / $506.17	Professional		$43.07	$272.26	$506.17
United Facility/Professional Professional Modifier Low / Median / High Price $272.69 / $280.82 / $567.88	Professional		$272.69	$280.82	$567.88