Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $113.71 / $376.69	Professional		$70.68	$113.71	$376.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $120.47 / $256.58	Professional		$112.00	$120.47	$256.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $209.95 / $216.95	Facility		$69.11	$209.95	$216.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $156.10 / $265.29	Professional		$73.61	$156.10	$265.29
United Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $230.85 / $450.47	Professional		$179.10	$230.85	$450.47