Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $690.78 / $690.78	Professional		$142.90	$690.78	$690.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.33 / $200.33 / $238.13	Facility		$200.33	$200.33	$238.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $200.33 / $203.41	Professional		$170.28	$200.33	$203.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $144.00 / $200.33	Facility		$118.31	$144.00	$200.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $185.38 / $247.99	Professional		$125.78	$185.38	$247.99
United Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $207.06 / $226.27	Professional		$166.44	$207.06	$226.27