Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $731.30 / $731.30	Professional		$99.87	$731.30	$731.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $275.67 / $275.67	Facility		$168.00	$275.67	$275.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $275.67 / $275.67	Professional		$168.00	$275.67	$275.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $262.54 / $275.67	Facility		$129.34	$262.54	$275.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $211.48 / $275.87	Professional		$204.17	$211.48	$275.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $115.74 / $183.56	Professional		$104.60	$115.74	$183.56