Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $326.80	Professional		$307.58	$319.11	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.11 / $384.47 / $400.45	Facility		$319.11	$384.47	$400.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $387.64 / $407.18	Professional		$326.80	$387.64	$407.18
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Professional		$320.39	$320.39	$320.39