Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $486.60 / $486.60	Professional		$173.22	$486.60	$486.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $169.81 / $414.42	Facility		$169.81	$169.81	$414.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $169.81 / $169.81	Professional		$158.91	$169.81	$169.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $169.81 / $414.42	Facility		$158.91	$169.81	$414.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $172.41 / $202.39	Professional		$169.81	$172.41	$202.39
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91