Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $682.48 / $682.48	Professional		$122.06	$682.48	$682.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $206.97 / $313.64	Facility		$153.90	$206.97	$313.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $152.29 / $153.90	Professional		$44.23	$152.29	$153.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $180.44 / $313.64	Facility		$93.55	$180.44	$313.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $95.53 / $153.90	Professional		$95.53	$95.53	$153.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $44.58 / $106.14	Professional		$36.83	$44.58	$106.14