Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.81 / $370.15 / $1,370.94	Professional		$270.81	$370.15	$1,370.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.80 / $413.80 / $413.80	Facility		$413.80	$413.80	$413.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $413.80 / $435.92	Professional		$222.68	$413.80	$435.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $280.35 / $413.80	Facility		$203.89	$280.35	$413.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $413.03 / $536.20	Professional		$247.80	$413.03	$536.20
United Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $423.36 / $474.23	Professional		$348.26	$423.36	$474.23