Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $289.08 / $1,057.25	Professional		$196.77	$289.08	$1,057.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $156.02 / $300.95	Facility		$79.20	$156.02	$300.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.32 / $313.20 / $629.95	Professional		$215.32	$313.20	$629.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $183.02 / $300.95	Facility		$89.76	$183.02	$300.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $299.18 / $476.54	Professional		$200.49	$299.18	$476.54
United Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $347.44 / $525.40	Professional		$287.12	$347.44	$525.40