Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $859.03 / $859.03	Professional		$247.67	$859.03	$859.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $323.81 / $323.81	Facility		$170.29	$323.81	$323.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $323.81 / $323.81	Professional		$170.29	$323.81	$323.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $308.39 / $323.81	Facility		$151.94	$308.39	$323.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $243.04 / $324.05	Professional		$170.29	$243.04	$324.05
United Facility/Professional Professional Modifier Low / Median / High Price $122.87 / $135.94 / $215.63	Professional		$122.87	$135.94	$215.63