Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.89 / $3,180.63 / $3,180.63	Professional		$526.89	$3,180.63	$3,180.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.16 / $696.16 / $696.16	Facility		$696.16	$696.16	$696.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.16 / $696.16 / $830.11	Professional		$696.16	$696.16	$830.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.16 / $696.16 / $696.16	Facility		$696.16	$696.16	$696.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.34 / $674.08 / $972.30	Professional		$449.34	$674.08	$972.30
United Facility/Professional Professional Modifier Low / Median / High Price $940.16 / $1,084.80 / $1,265.59	Professional		$940.16	$1,084.80	$1,265.59