Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.80 / $1,527.60 / $1,527.60	Facility		$763.80	$1,527.60	$1,527.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $381.90 / $381.90	Professional		$381.90	$381.90	$381.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $330.98 / $330.98	Facility		$330.98	$330.98	$330.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $585.22 / $731.53	Professional		$585.22	$585.22	$731.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.74 / $509.20 / $611.04	Facility		$483.74	$509.20	$611.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.54 / $509.20 / $509.20	Professional		$417.54	$509.20	$509.20
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $213.86 / $305.52	Professional		$213.86	$213.86	$305.52