Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $738.91 / $738.91	Professional		$138.27	$738.91	$738.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $210.11 / $591.42	Facility		$155.63	$210.11	$591.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $195.60 / $379.70	Professional		$140.62	$195.60	$379.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $210.11 / $591.42	Facility		$155.63	$210.11	$591.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.41 / $169.10 / $265.39	Professional		$120.41	$169.10	$265.39
United Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $163.22 / $163.22	Facility		$163.22	$163.22	$163.22
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $148.82 / $259.17	Professional		$110.13	$148.82	$259.17