Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $1,331.65 / $1,331.65	Professional		$242.69	$1,331.65	$1,331.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $105.95	Facility	26	$85.71	$85.71	$105.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.41 / $369.33 / $649.20	Professional		$314.41	$369.33	$649.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $105.95	Facility	26	$85.71	$85.71	$105.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.92 / $298.81 / $403.06	Professional		$210.92	$298.81	$403.06
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $226.92 / $410.07	Professional		$198.48	$226.92	$410.07