Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $538.29 / $538.29	Professional		$109.02	$538.29	$538.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Facility		$171.94	$171.94	$171.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $171.94 / $171.94	Professional		$116.30	$171.94	$171.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $209.99 / $211.25	Facility		$85.05	$209.99	$211.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $150.10 / $222.60	Professional		$102.87	$150.10	$222.60
United Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $185.41 / $297.86	Professional		$145.22	$185.41	$297.86