Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.34 / $844.26 / $915.92	Professional		$164.34	$844.26	$915.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.06 / $256.06 / $256.06	Facility		$256.06	$256.06	$256.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $256.06 / $280.79	Professional		$212.92	$256.06	$280.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $189.40 / $373.48	Facility		$145.09	$189.40	$373.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $256.24 / $341.88	Professional		$170.81	$256.24	$341.88
United Facility/Professional Professional Modifier Low / Median / High Price $269.89 / $306.22 / $328.95	Professional		$269.89	$306.22	$328.95