Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $708.80 / $708.80	Professional		$156.10	$708.80	$708.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Facility		$215.05	$215.05	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.61 / $215.05 / $215.05	Professional		$177.61	$215.05	$215.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $276.25 / $289.05	Facility		$215.05	$276.25	$289.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $187.90 / $287.00	Professional		$132.63	$187.90	$287.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $243.00 / $380.18	Professional		$204.06	$243.00	$380.18