Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $860.91 / $860.91	Professional		$248.22	$860.91	$860.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $234.98 / $234.98	Facility		$169.96	$234.98	$234.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $234.98 / $234.98	Professional		$168.18	$234.98	$234.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $223.79 / $234.98	Facility		$124.77	$223.79	$234.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $180.27 / $262.25	Professional		$176.36	$180.27	$262.25
United Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $111.65 / $177.07	Professional		$100.91	$111.65	$177.07