Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $662.29 / $662.29	Professional		$118.45	$662.29	$662.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $200.85 / $304.37	Facility		$149.35	$200.85	$304.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $147.65 / $149.35	Professional		$63.28	$147.65	$149.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $175.10 / $304.37	Facility		$149.35	$175.10	$304.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $149.35	Professional		$92.70	$92.70	$149.35
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $43.26 / $103.00	Professional		$43.26	$43.26	$103.00