Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.84 / $243.84 / $243.84	Professional		$243.84	$243.84	$243.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.72 / $340.72 / $405.00	Facility		$340.72	$340.72	$405.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.72 / $340.72 / $340.72	Professional		$340.72	$340.72	$340.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.72 / $405.00 / $488.29	Facility		$340.72	$405.00	$488.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $312.05 / $475.69	Professional		$208.01	$312.05	$475.69
United Facility/Professional Professional Modifier Low / Median / High Price $317.72 / $366.60 / $442.01	Professional		$317.72	$366.60	$442.01