Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $156.03 / $387.27	Professional		$127.26	$156.03	$387.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $216.10 / $256.88	Facility		$216.10	$216.10	$256.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $154.00 / $294.13	Professional		$111.16	$154.00	$294.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.99 / $204.26 / $256.88	Facility		$139.99	$204.26	$256.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $257.20 / $388.52	Professional		$151.69	$257.20	$388.52
United Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $277.82 / $321.31	Professional		$244.29	$277.82	$321.31