Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $173.93	Professional		$167.65	$173.93	$173.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $209.56 / $240.46	Facility		$167.65	$209.56	$240.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $230.84 / $240.46	Professional		$178.13	$230.84	$240.46
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $202.90	Professional		$202.90	$202.90	$202.90