Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $784.80 / $784.80	Professional		$168.45	$784.80	$784.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $241.34 / $286.88	Facility		$241.34	$241.34	$286.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $211.27 / $297.66	Professional		$82.12	$211.27	$297.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.33 / $197.57 / $299.97	Facility		$139.33	$197.57	$299.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $218.39 / $295.26	Professional		$151.30	$218.39	$295.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $235.47 / $257.32	Professional		$190.81	$235.47	$257.32