Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $165.34 / $869.81	Professional		$142.37	$165.34	$869.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $264.48 / $485.31	Professional		$165.46	$264.48	$485.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.43 / $222.35 / $305.50	Facility		$163.43	$222.35	$305.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $271.22 / $451.95	Professional		$176.30	$271.22	$451.95
United Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $287.36 / $358.74	Professional		$233.60	$287.36	$358.74