Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $160.68 / $1,013.03	Professional		$160.68	$160.68	$1,013.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.70 / $299.70 / $299.70	Facility		$299.70	$299.70	$299.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $206.62 / $320.68	Professional		$195.54	$206.62	$320.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $299.70	Facility		$251.53	$251.53	$299.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $252.07 / $353.39	Professional		$177.93	$252.07	$353.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,490.00 / $1,490.00	Facility		$1,490.00	$1,490.00	$1,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $316.10 / $365.15	Professional		$283.39	$316.10	$365.15