Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $253.90 / $650.00	Professional		$175.55	$253.90	$650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.83 / $322.83 / $322.83	Facility		$322.83	$322.83	$322.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $322.83 / $472.00	Professional		$215.56	$322.83	$472.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $322.83 / $381.39	Facility		$252.70	$322.83	$381.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $322.83 / $452.02	Professional		$211.00	$322.83	$452.02
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.92 / $462.27 / $557.19	Professional		$413.92	$462.27	$557.19