Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.05 / $2,400.66 / $2,400.66	Professional		$531.05	$2,400.66	$2,400.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.80 / $739.80 / $739.80	Facility		$739.80	$739.80	$739.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.86 / $739.80 / $739.80	Professional		$606.86	$739.80	$739.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.80 / $943.15 / $991.13	Facility		$739.80	$943.15	$991.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.25 / $640.70 / $978.60	Professional		$452.25	$640.70	$978.60
United Facility/Professional Professional Modifier Low / Median / High Price $710.32 / $819.59 / $1,291.31	Professional		$710.32	$819.59	$1,291.31