Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $753.79 / $753.79	Professional		$217.32	$753.79	$753.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $277.45 / $277.45	Facility		$159.22	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $225.63 / $277.45	Professional		$159.22	$225.63	$277.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.82 / $264.25 / $277.45	Facility		$124.82	$264.25	$277.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $208.25 / $277.67	Professional		$159.22	$208.25	$277.67
United Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $111.70 / $186.16	Professional		$100.95	$111.70	$186.16