Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $778.56 / $778.56	Professional		$224.47	$778.56	$778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $254.86 / $254.86	Facility		$170.89	$254.86	$254.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $207.25 / $254.86	Professional		$170.89	$207.25	$254.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $242.72 / $254.86	Facility		$112.83	$242.72	$254.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $191.28 / $255.04	Professional		$170.89	$191.28	$255.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $100.96 / $160.13	Professional		$91.25	$100.96	$160.13