Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $1,117.51 / $1,599.97	Professional		$204.24	$1,117.51	$1,599.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.33 / $312.33 / $312.33	Facility		$312.33	$312.33	$312.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $399.25 / $548.83	Professional		$312.33	$399.25	$548.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $528.45 / $592.02	Facility		$196.15	$528.45	$592.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $312.74 / $548.83	Professional		$203.29	$312.74	$548.83
United Facility/Professional Professional Modifier Low / Median / High Price $414.63 / $500.91 / $788.10	Professional		$414.63	$500.91	$788.10