Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $891.76	Professional		$139.21	$139.21	$891.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $310.58 / $310.58	Facility		$144.84	$310.58	$310.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $310.58 / $310.58	Professional		$144.84	$310.58	$310.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $295.80 / $310.58	Facility		$129.22	$295.80	$310.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $238.29 / $310.82	Professional		$233.12	$238.29	$310.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $115.64 / $176.96	Professional		$104.52	$115.64	$176.96