Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $144.57 / $855.27	Professional		$99.87	$144.57	$855.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.10 / $165.10 / $165.10	Facility		$165.10	$165.10	$165.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $184.31 / $362.93	Professional		$116.63	$184.31	$362.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $150.24 / $296.50	Facility		$101.55	$150.24	$296.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $233.78 / $380.80	Professional		$140.85	$233.78	$380.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $263.32 / $327.70	Professional		$213.38	$263.32	$327.70