Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.80 / $713.04 / $2,628.84	Professional		$534.80	$713.04	$2,628.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.41 / $813.41 / $813.41	Facility		$813.41	$813.41	$813.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $698.98 / $813.41	Professional		$389.65	$698.98	$813.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.77 / $534.84 / $813.41	Facility		$403.77	$534.84	$813.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.25 / $772.71 / $1,050.00	Professional		$485.25	$772.71	$1,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.22 / $789.25 / $909.51	Professional		$643.22	$789.25	$909.51