Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $165.33 / $522.19	Professional		$119.92	$165.33	$522.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.32 / $209.79 / $252.91	Facility		$178.32	$209.79	$252.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $210.81 / $302.06	Professional		$146.08	$210.81	$302.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $182.69 / $327.64	Facility		$128.94	$182.69	$327.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $275.99 / $408.46	Professional		$169.19	$275.99	$408.46
United Facility/Professional Professional Modifier Low / Median / High Price $240.58 / $298.13 / $340.56	Professional		$240.58	$298.13	$340.56