Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.48 / $846.76 / $3,136.25	Professional		$640.48	$846.76	$3,136.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $962.74 / $962.74 / $962.74	Facility		$962.74	$962.74	$962.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.70 / $914.32 / $962.74	Professional		$501.70	$914.32	$962.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.30 / $647.04 / $962.74	Facility		$477.30	$647.04	$962.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $914.32 / $1,253.00	Professional		$579.07	$914.32	$1,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.80 / $964.87 / $1,102.71	Professional		$809.80	$964.87	$1,102.71