Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $808.75 / $928.87	Professional		$161.26	$808.75	$928.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.38 / $252.38 / $252.38	Facility		$252.38	$252.38	$252.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $252.38 / $297.08	Professional		$165.44	$252.38	$297.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $273.64 / $300.44	Facility		$146.06	$273.64	$300.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $248.57 / $349.93	Professional		$161.58	$248.57	$349.93
United Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $289.42 / $517.08	Professional		$244.17	$289.42	$517.08