Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $624.89 / $3,056.92	Professional		$624.89	$624.89	$3,056.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.42 / $915.42 / $915.42	Facility		$915.42	$915.42	$915.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.79 / $915.42 / $964.96	Professional		$649.79	$915.42	$964.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.94 / $1,074.45 / $1,104.98	Facility		$452.94	$1,074.45	$1,104.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.27 / $825.50 / $1,190.70	Professional		$550.27	$825.50	$1,190.70
United Facility/Professional Professional Modifier Low / Median / High Price $843.03 / $1,003.20 / $1,588.21	Professional		$843.03	$1,003.20	$1,588.21