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 $195.60 / $289.95 / $379.70	Professional		$195.60	$289.95	$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 / $170.03 / $272.99	Professional		$120.41	$170.03	$272.99
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $151.69 / $259.17	Professional		$110.13	$151.69	$259.17