Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $97.59 / $204.09	Professional		$97.59	$97.59	$204.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $150.90 / $150.90	Facility		$150.90	$150.90	$150.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $150.90 / $310.22	Professional		$150.90	$150.90	$310.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $133.72 / $167.15	Facility		$74.45	$133.72	$167.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $198.10 / $323.95	Professional		$99.19	$198.10	$323.95
United Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $433.26 / $549.45	Professional		$351.09	$433.26	$549.45