Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $1,982.14 / $1,982.14	Professional		$339.77	$1,982.14	$1,982.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.70 / $625.70 / $625.70	Facility		$625.70	$625.70	$625.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $625.70 / $625.70	Professional		$425.14	$625.70	$625.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.91 / $625.70 / $644.52	Facility		$306.91	$625.70	$644.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.88 / $565.37 / $815.50	Professional		$376.88	$565.37	$815.50
United Facility/Professional Professional Modifier Low / Median / High Price $527.80 / $651.35 / $1,092.43	Professional		$527.80	$651.35	$1,092.43