Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.32 / $3,331.47 / $3,331.47	Professional		$797.32	$3,331.47	$3,331.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.39 / $996.39 / $996.39	Facility		$996.39	$996.39	$996.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.20 / $996.39 / $1,052.83	Professional		$727.20	$996.39	$1,052.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.49 / $1,176.50 / $1,208.08	Facility		$493.49	$1,176.50	$1,208.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.45 / $899.26 / $1,297.09	Professional		$599.45	$899.26	$1,297.09
United Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $791.20 / $10,167.24	Facility		$791.20	$791.20	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $923.10 / $1,093.80 / $1,729.75	Professional		$923.10	$1,093.80	$1,729.75