Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.94 / $1,637.26 / $1,637.26	Professional		$291.94	$1,637.26	$1,637.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.43 / $482.95 / $1,476.02	Facility		$388.43	$482.95	$1,476.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $390.67 / $761.38	Professional		$237.05	$390.67	$761.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.43 / $482.95 / $1,476.02	Facility		$388.43	$482.95	$1,476.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.01 / $360.22 / $559.29	Professional		$243.01	$360.22	$559.29
United Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $292.16 / $537.83	Professional		$242.04	$292.16	$537.83