Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $1,052.52 / $1,052.52	Professional		$143.74	$1,052.52	$1,052.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $300.73 / $300.73	Facility		$170.96	$300.73	$300.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $300.73 / $300.73	Professional		$170.96	$300.73	$300.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.54 / $286.41 / $300.73	Facility		$152.54	$286.41	$300.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.71 / $230.71 / $329.37	Professional		$225.71	$230.71	$329.37
United Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $136.49 / $208.87	Professional		$123.37	$136.49	$208.87