Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $894.05 / $894.05	Professional		$257.77	$894.05	$894.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $421.01 / $421.01	Facility		$225.68	$421.01	$421.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $342.36 / $421.01	Professional		$225.68	$342.36	$421.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.66 / $400.96 / $421.01	Facility		$167.66	$400.96	$421.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $315.98 / $421.31	Professional		$225.68	$315.98	$421.31
United Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $150.02 / $231.18	Professional		$135.59	$150.02	$231.18