Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $239.86 / $263.83	Professional		$143.47	$239.86	$263.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $114.62 / $199.78	Facility		$114.62	$114.62	$199.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $263.38 / $263.38	Professional		$114.62	$263.38	$263.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $114.62 / $199.78	Facility		$114.62	$114.62	$199.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $105.68 / $263.38	Professional		$68.70	$105.68	$263.38
United Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $265.73 / $282.19	Professional		$265.73	$265.73	$282.19