Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $129.61 / $667.92	Professional		$118.55	$129.61	$667.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $202.96 / $202.96	Facility		$202.96	$202.96	$202.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $202.96 / $375.60	Professional		$128.30	$202.96	$375.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $177.51 / $242.88	Facility		$119.24	$177.51	$242.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $208.67 / $347.72	Professional		$135.63	$208.67	$347.72
United Facility/Professional Professional Modifier Low / Median / High Price $179.89 / $224.79 / $327.66	Professional		$179.89	$224.79	$327.66