Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $387.25 / $565.48	Professional		$71.09	$387.25	$565.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Facility		$114.10	$114.10	$114.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $125.13 / $175.18	Professional		$96.99	$125.13	$175.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $106.59 / $173.55	Facility		$64.34	$106.59	$173.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $133.00 / $203.73	Professional		$94.05	$133.00	$203.73
United Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $181.14 / $194.58	Professional		$151.80	$181.14	$194.58