Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Facility		$1,380.38	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $549.54	Professional		$309.03	$371.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $549.54	Facility		$302.00	$436.52	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42