Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.58 / $695.70 / $695.70	Professional		$200.58	$695.70	$695.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $203.43 / $203.43	Facility		$126.98	$203.43	$203.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $203.43 / $203.43	Professional		$126.98	$203.43	$203.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $193.74 / $203.43	Facility		$107.35	$193.74	$203.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $156.07 / $222.80	Professional		$152.69	$156.07	$222.80
United Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $96.06 / $148.03	Professional		$86.82	$96.06	$148.03