Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.96 / $1,278.96 / $1,278.96	Professional		$1,278.96	$1,278.96	$1,278.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $920.52 / $920.52 / $920.52	Facility		$920.52	$920.52	$920.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.52 / $920.52 / $920.52	Professional		$920.52	$920.52	$920.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.52 / $920.52 / $920.52	Facility		$920.52	$920.52	$920.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.81 / $793.55 / $920.52	Professional		$761.81	$793.55	$920.52
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $266.63 / $634.84	Professional		$266.63	$266.63	$634.84