Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $286.58 / $1,452.72	Professional		$250.36	$286.58	$1,452.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.90 / $425.90 / $425.90	Facility		$425.90	$425.90	$425.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.49 / $425.90 / $804.73	Professional		$283.49	$425.90	$804.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.40 / $275.39 / $548.48	Facility		$212.40	$275.39	$548.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $434.60 / $724.19	Professional		$282.50	$434.60	$724.19
United Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $477.00 / $573.82	Professional		$397.50	$477.00	$573.82