Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $688.19 / $1,124.08	Professional		$145.59	$688.19	$1,124.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.90 / $211.90 / $211.90	Facility		$211.90	$211.90	$211.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $217.67 / $351.53	Professional		$211.90	$217.67	$351.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $356.20 / $390.89	Facility		$130.13	$356.20	$390.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $222.22 / $351.53	Professional		$135.99	$222.22	$351.53
United Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $350.71 / $586.44	Professional		$283.88	$350.71	$586.44