Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $954.28 / $954.28	Professional		$170.67	$954.28	$954.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $289.39 / $438.55	Facility		$215.19	$289.39	$438.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $213.21 / $215.19	Professional		$87.61	$213.21	$215.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $252.30 / $438.55	Facility		$215.19	$252.30	$438.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $133.57 / $215.19	Professional		$133.57	$133.57	$215.19
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $62.33 / $204.00	Professional		$62.33	$62.33	$204.00