Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $628.63	Professional		$122.99	$122.99	$628.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $198.75 / $198.75	Facility		$198.75	$198.75	$198.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $198.75 / $220.58	Professional		$136.28	$198.75	$220.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $219.05 / $232.76	Facility		$97.86	$219.05	$232.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $181.02 / $261.10	Professional		$120.67	$181.02	$261.10
United Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $215.68 / $347.81	Professional		$171.87	$215.68	$347.81