Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.75 / $1,802.91 / $1,802.91	Professional		$429.75	$1,802.91	$1,802.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.64 / $532.64 / $532.64	Facility		$532.64	$532.64	$532.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $532.64 / $577.34	Professional		$450.50	$532.64	$577.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.75 / $660.40 / $673.61	Facility		$263.75	$660.40	$673.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $483.36 / $697.20	Professional		$322.20	$483.36	$697.20
United Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $629.36 / $928.71	Professional		$516.36	$629.36	$928.71