Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.79 / $960.05 / $960.05	Professional		$276.79	$960.05	$960.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $360.70 / $360.70	Facility		$220.51	$360.70	$360.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $293.32 / $360.70	Professional		$220.51	$293.32	$360.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.86 / $343.52 / $360.70	Facility		$170.86	$343.52	$360.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $270.72 / $360.96	Professional		$220.51	$270.72	$360.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $152.90 / $235.61	Professional		$138.19	$152.90	$235.61