Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $560.35 / $1,472.88	Professional		$115.92	$560.35	$1,472.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.05 / $164.05 / $164.05	Facility		$164.05	$164.05	$164.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $181.58 / $449.56	Professional		$164.05	$181.58	$449.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.48 / $490.75 / $530.04	Facility		$100.48	$490.75	$530.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $274.70 / $477.19	Professional		$109.36	$274.70	$477.19
United Facility/Professional Professional Modifier Low / Median / High Price $385.05 / $465.61 / $795.50	Professional		$385.05	$465.61	$795.50