Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $146.78 / $640.38	Professional		$132.59	$146.78	$640.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $187.18 / $187.18	Facility		$187.18	$187.18	$187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.18 / $187.18 / $187.20	Professional		$187.18	$187.18	$187.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $286.64 / $303.60	Facility		$187.18	$286.64	$303.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $167.68 / $249.90	Professional		$115.49	$167.68	$249.90
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $213.00 / $328.38	Professional		$184.60	$213.00	$328.38