Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $201.71 / $201.71	Professional		$201.71	$201.71	$201.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $254.33 / $254.33	Facility		$254.33	$254.33	$254.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $254.33 / $254.33	Professional		$85.57	$254.33	$254.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $254.33 / $254.33	Facility		$254.33	$254.33	$254.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $157.86 / $254.33	Professional		$157.86	$157.86	$254.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $175.40	Professional		$73.67	$73.67	$175.40