Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.22 / $2,874.56 / $2,874.56	Professional		$571.22	$2,874.56	$2,874.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.72 / $880.72 / $880.72	Facility		$880.72	$880.72	$880.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.33 / $880.72 / $880.72	Professional		$586.33	$880.72	$880.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.61 / $960.70 / $991.76	Facility		$433.61	$960.70	$991.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $531.51 / $797.35 / $1,150.09	Professional		$531.51	$797.35	$1,150.09
United Facility/Professional Professional Modifier Low / Median / High Price $753.78 / $940.79 / $1,529.94	Professional		$753.78	$940.79	$1,529.94