Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $132.71 / $813.66	Professional		$106.75	$132.71	$813.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $202.43 / $250.94	Facility		$144.36	$202.43	$250.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $314.58 / $538.32	Professional		$202.43	$314.58	$538.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.38 / $250.94 / $738.68	Facility		$127.38	$250.94	$738.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $223.00 / $337.92	Professional		$124.22	$223.00	$337.92
United Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $210.41 / $278.77	Professional		$142.13	$210.41	$278.77