Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.87 / $1,947.88 / $1,947.88	Professional		$420.87	$1,947.88	$1,947.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.04 / $592.04 / $592.04	Facility		$592.04	$592.04	$592.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.67 / $592.04 / $592.04	Professional		$462.67	$592.04	$592.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.04 / $751.40 / $771.02	Facility		$592.04	$751.40	$771.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.67 / $512.38 / $782.60	Professional		$361.67	$512.38	$782.60
United Facility/Professional Professional Modifier Low / Median / High Price $567.32 / $654.60 / $1,030.44	Professional		$567.32	$654.60	$1,030.44