Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.43 / $1,146.30 / $3,858.16	Professional		$489.43	$1,146.30	$3,858.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.45 / $722.45 / $722.45	Facility		$722.45	$722.45	$722.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $650.21 / $1,072.75	Professional		$315.45	$650.21	$1,072.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.24 / $554.92 / $785.12	Facility		$350.24	$554.92	$785.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.49 / $876.98 / $1,435.77	Professional		$518.49	$876.98	$1,435.77
United Facility/Professional Professional Modifier Low / Median / High Price $862.46 / $1,126.71 / $1,730.31	Professional		$862.46	$1,126.71	$1,730.31