Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $137.19 / $700.74	Professional		$76.22	$137.19	$700.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.46 / $121.46 / $121.46	Facility		$121.46	$121.46	$121.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $121.46 / $211.37	Professional		$95.09	$121.46	$211.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $102.64 / $128.30	Facility		$59.69	$102.64	$128.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.24 / $160.44 / $257.81	Professional		$103.24	$160.44	$257.81
United Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $223.65 / $270.07	Professional		$191.26	$223.65	$270.07