Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.53 / $841.20 / $841.20	Professional		$242.53	$841.20	$841.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $286.58 / $286.58	Facility		$170.54	$286.58	$286.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $233.04 / $286.58	Professional		$170.54	$233.04	$286.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $272.93 / $286.58	Facility		$152.16	$272.93	$286.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $215.09 / $303.19	Professional		$170.54	$215.09	$303.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $136.16 / $215.95	Professional		$123.07	$136.16	$215.95