Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.06 / $1,085.06 / $1,085.06	Professional		$194.06	$1,085.06	$1,085.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.69 / $286.88 / $961.88	Facility		$244.69	$286.88	$961.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.69 / $244.69 / $244.69	Professional		$244.69	$244.69	$244.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.69 / $286.88 / $961.88	Facility		$244.69	$286.88	$961.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $151.88 / $244.69	Professional		$151.88	$151.88	$244.69
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $168.75	Professional		$70.88	$70.88	$168.75