Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.39 / $2,185.82 / $2,185.82	Professional		$498.39	$2,185.82	$2,185.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.16 / $645.16 / $645.16	Facility		$645.16	$645.16	$645.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $426.23 / $679.19	Professional		$415.70	$426.23	$679.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.19 / $514.15 / $645.16	Facility		$443.19	$514.15	$645.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $547.21 / $761.48	Professional		$386.26	$547.21	$761.48
United Facility/Professional Facility Modifier Low / Median / High Price $502.67 / $1,450.00 / $4,665.92	Facility		$502.67	$1,450.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $582.90 / $676.87 / $781.90	Professional		$582.90	$676.87	$781.90