Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $598.37 / $2,939.69	Professional		$483.61	$598.37	$2,939.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.90 / $904.90 / $904.90	Facility		$904.90	$904.90	$904.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.52 / $904.90 / $934.11	Professional		$476.52	$904.90	$934.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.91 / $617.25 / $904.90	Facility		$448.91	$617.25	$904.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.86 / $903.16 / $1,172.50	Professional		$541.86	$903.16	$1,172.50
United Facility/Professional Professional Modifier Low / Median / High Price $757.63 / $918.83 / $1,031.67	Professional		$757.63	$918.83	$1,031.67