Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.40 / $766.80 / $1,533.60	Facility		$383.40	$766.80	$1,533.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.40 / $383.40 / $383.40	Professional		$383.40	$383.40	$383.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $332.28 / $332.28	Facility		$332.28	$332.28	$332.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $587.29 / $734.11	Professional		$587.29	$587.29	$734.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $485.64 / $613.44	Facility		$332.28	$485.64	$613.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $511.20 / $511.20	Professional		$419.18	$511.20	$511.20
United Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $511.20 / $511.20	Facility		$511.20	$511.20	$511.20
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $214.70 / $306.72	Professional		$214.70	$214.70	$306.72