Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.01 / $2,236.67 / $3,222.86	Professional		$406.01	$2,236.67	$3,222.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.93 / $660.93 / $660.93	Facility		$660.93	$660.93	$660.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $660.93 / $959.14	Professional		$553.69	$660.93	$959.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.93 / $585.65 / $937.04	Facility		$369.93	$585.65	$937.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $770.73 / $1,160.00	Professional		$553.69	$770.73	$1,160.00
United Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $737.03 / $737.03	Facility		$737.03	$737.03	$737.03
United Facility/Professional Professional Modifier Low / Median / High Price $846.94 / $1,024.83 / $1,116.47	Professional		$846.94	$1,024.83	$1,116.47