Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $1,441.36 / $1,441.36	Professional		$324.01	$1,441.36	$1,441.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $445.35 / $445.35	Professional		$360.57	$445.35	$445.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $390.93 / $597.10	Professional		$275.95	$390.93	$597.10
United Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $485.39 / $781.63	Professional		$412.59	$485.39	$781.63