Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $167.81 / $536.09	Professional		$167.81	$167.81	$536.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.08 / $236.08 / $236.08	Facility		$236.08	$236.08	$236.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $570.54 / $570.54	Professional		$236.08	$570.54	$570.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.08 / $236.08 / $236.08	Facility		$236.08	$236.08	$236.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $570.54 / $570.54	Professional		$236.08	$570.54	$570.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89