Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $875.34 / $1,361.63	Professional		$200.30	$875.34	$1,361.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.22 / $259.22 / $259.22	Facility		$259.22	$259.22	$259.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $259.22 / $410.65	Professional		$167.26	$259.22	$410.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.24 / $169.74 / $301.87	Facility		$82.24	$169.74	$301.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $262.35 / $421.65	Professional		$167.89	$262.35	$421.65
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $417.01 / $481.72	Professional		$353.50	$417.01	$481.72