Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $342.88 / $1,278.52	Professional		$152.58	$342.88	$1,278.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.97 / $243.97 / $243.97	Facility		$243.97	$243.97	$243.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $257.24 / $387.61	Professional		$133.13	$257.24	$387.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $200.13 / $399.95	Facility		$121.48	$200.13	$399.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $296.16 / $469.56	Professional		$177.38	$296.16	$469.56
United Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $396.14 / $454.07	Professional		$304.80	$396.14	$454.07