Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $158.57 / $228.47	Professional		$108.57	$158.57	$228.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.23 / $249.23 / $249.23	Facility		$249.23	$249.23	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $249.23 / $249.23	Professional		$176.50	$249.23	$249.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $162.88 / $249.23	Facility		$130.22	$162.88	$249.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $238.32 / $280.38	Professional		$145.53	$238.32	$280.38
United Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $312.01 / $426.41	Professional		$270.83	$312.01	$426.41