Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.85 / $2,168.79 / $2,879.83	Professional		$494.85	$2,168.79	$2,879.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $642.00	Facility		$642.00	$642.00	$642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.86 / $557.04 / $870.67	Professional		$402.86	$557.04	$870.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.09 / $581.40 / $840.00	Facility		$377.09	$581.40	$840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.34 / $638.95 / $870.67	Professional		$415.34	$638.95	$870.67
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 $793.52 / $885.08 / $1,022.42	Professional		$793.52	$885.08	$1,022.42