Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $585.02 / $2,153.44	Professional		$427.35	$585.02	$2,153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.89 / $649.89 / $649.89	Facility		$649.89	$649.89	$649.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.93 / $649.89 / $701.89	Professional		$360.93	$649.89	$701.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.93 / $415.45 / $649.89	Facility		$318.93	$415.45	$649.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.11 / $649.89 / $870.10	Professional		$391.11	$649.89	$870.10
United Facility/Professional Professional Modifier Low / Median / High Price $568.65 / $683.65 / $820.38	Professional		$568.65	$683.65	$820.38