Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.66 / $2,160.17 / $2,160.17	Professional		$514.66	$2,160.17	$2,160.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.26 / $647.26 / $647.26	Facility		$647.26	$647.26	$647.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.61 / $647.26 / $680.36	Professional		$457.61	$647.26	$680.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.67 / $752.70 / $777.98	Facility		$320.67	$752.70	$777.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $581.39 / $838.60	Professional		$387.55	$581.39	$838.60
United Facility/Professional Professional Modifier Low / Median / High Price $590.58 / $695.62 / $1,121.08	Professional		$590.58	$695.62	$1,121.08