Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.93 / $397.54 / $401.59	Professional		$395.93	$397.54	$401.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $348.48 / $486.90	Facility		$219.60	$348.48	$486.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $426.34 / $463.43	Professional		$175.28	$426.34	$463.43
United Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $182.18 / $261.36	Professional		$164.66	$182.18	$261.36