Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.55 / $243.28 / $1,188.97	Professional		$222.55	$243.28	$1,188.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $359.12 / $359.12	Facility		$359.12	$359.12	$359.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.01 / $359.12 / $359.12	Professional		$322.01	$359.12	$359.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $359.12 / $359.12	Facility		$359.12	$359.12	$359.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $322.01 / $479.50	Professional		$221.60	$322.01	$479.50
United Facility/Professional Professional Modifier Low / Median / High Price $319.13 / $407.40 / $628.99	Professional		$319.13	$407.40	$628.99