Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $362.97 / $1,335.74	Professional		$149.80	$362.97	$1,335.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $228.72 / $228.72	Facility		$228.72	$228.72	$228.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $228.72 / $422.22	Professional		$132.06	$228.72	$422.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $212.50 / $318.98	Facility		$114.16	$212.50	$318.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $293.30 / $487.95	Professional		$190.90	$293.30	$487.95
United Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $399.28 / $451.90	Professional		$300.45	$399.28	$451.90