Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.07 / $645.86 / $764.03	Professional		$134.07	$645.86	$764.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $205.59 / $205.59	Facility		$205.59	$205.59	$205.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $205.59 / $252.38	Professional		$140.87	$205.59	$252.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.24 / $218.40 / $232.76	Facility		$122.24	$218.40	$232.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $205.59 / $287.04	Professional		$134.94	$205.59	$287.04
United Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $240.12 / $442.15	Professional		$194.58	$240.12	$442.15