Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $890.09 / $890.09	Professional		$121.56	$890.09	$890.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $263.81 / $263.81	Facility		$166.23	$263.81	$263.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $214.53 / $263.81	Professional		$166.23	$214.53	$263.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $251.25 / $263.81	Facility		$128.99	$251.25	$263.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $198.00 / $264.00	Professional		$166.23	$198.00	$264.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $115.43 / $176.64	Professional		$104.33	$115.43	$176.64