Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $286.85 / $1,450.92	Professional		$254.66	$286.85	$1,450.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.53 / $428.53 / $428.53	Facility		$428.53	$428.53	$428.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $428.53 / $800.68	Professional		$288.00	$428.53	$800.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.62 / $463.03 / $602.14	Facility		$266.62	$463.03	$602.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $432.98 / $729.49	Professional		$281.45	$432.98	$729.49
United Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $490.59 / $602.87	Professional		$402.00	$490.59	$602.87