Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $1,188.21 / $1,218.85	Professional		$174.08	$1,188.21	$1,218.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.64 / $471.64 / $560.63	Facility		$471.64	$471.64	$560.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $708.63	Professional		$471.64	$471.64	$708.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.64 / $540.22 / $1,218.85	Facility		$471.64	$540.22	$1,218.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $272.26 / $506.17	Professional		$43.07	$272.26	$506.17
United Facility/Professional Professional Modifier Low / Median / High Price $950.55 / $950.55 / $1,669.34	Professional		$950.55	$950.55	$1,669.34