Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $655.36 / $655.36	Professional		$122.59	$655.36	$655.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $180.89 / $509.18	Facility		$134.00	$180.89	$509.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $195.69 / $334.57	Professional		$166.22	$195.69	$334.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $180.89 / $509.18	Facility		$134.00	$180.89	$509.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $150.78 / $228.73	Professional		$106.43	$150.78	$228.73
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $120.82 / $217.62	Professional		$97.86	$120.82	$217.62