Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $170.54 / $575.54	Professional		$123.11	$170.54	$575.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.14 / $176.14 / $176.14	Facility		$176.14	$176.14	$176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $180.42 / $259.75	Professional		$176.14	$180.42	$259.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $281.45 / $292.22	Facility		$109.51	$281.45	$292.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $176.14 / $261.51	Professional		$113.56	$176.14	$261.51
United Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $269.39 / $449.54	Professional		$220.83	$269.39	$449.54