Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $807.75 / $807.75	Professional		$110.31	$807.75	$807.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $293.95 / $293.95	Facility		$139.66	$293.95	$293.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $239.05 / $293.95	Professional		$139.66	$239.05	$293.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $279.95 / $293.95	Facility		$117.06	$279.95	$293.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $220.63 / $294.17	Professional		$139.66	$220.63	$294.17
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $104.75 / $160.30	Professional		$94.68	$104.75	$160.30