Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $688.44 / $688.44	Professional		$161.90	$688.44	$688.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.79 / $270.79 / $270.79	Facility		$270.79	$270.79	$270.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.79 / $270.79 / $270.79	Facility		$270.79	$270.79	$270.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $175.53 / $374.34	Professional		$123.90	$175.53	$374.34
United Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $222.17 / $245.15	Professional		$180.03	$222.17	$245.15