Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $771.60 / $771.60	Professional		$138.00	$771.60	$771.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $204.00 / $684.00	Facility		$174.00	$204.00	$684.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $174.00	Professional		$174.00	$174.00	$174.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $204.00 / $684.00	Facility		$174.00	$204.00	$684.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $174.00	Professional		$108.00	$108.00	$174.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $120.00	Professional		$50.40	$50.40	$120.00