Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $184.56 / $397.88	Professional		$184.56	$184.56	$397.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.83 / $281.83 / $281.83	Facility		$281.83	$281.83	$281.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $281.83 / $602.57	Professional		$281.83	$281.83	$602.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.84 / $239.50 / $299.38	Facility		$138.84	$239.50	$299.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $376.23 / $627.09	Professional		$187.17	$376.23	$627.09
United Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $860.72 / $1,066.52	Professional		$694.10	$860.72	$1,066.52