Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $2,322.02 / $2,322.02	Professional		$477.85	$2,322.02	$2,322.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.22 / $738.22 / $738.22	Facility		$738.22	$738.22	$738.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.27 / $738.22 / $738.22	Professional		$528.27	$738.22	$738.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.88 / $722.32 / $738.22	Facility		$362.88	$722.32	$738.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.75 / $659.30 / $966.70	Professional		$446.75	$659.30	$966.70
United Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $786.47 / $1,293.14	Professional		$618.75	$786.47	$1,293.14