Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $964.50 / $964.50	Professional		$172.50	$964.50	$964.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $255.00 / $855.00	Facility		$217.50	$255.00	$855.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $217.50 / $217.50	Professional		$217.50	$217.50	$217.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $255.00 / $855.00	Facility		$217.50	$255.00	$855.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $217.50	Professional		$135.00	$135.00	$217.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $150.00	Professional		$63.00	$63.00	$150.00