Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.10 / $1,504.62 / $1,504.62	Professional		$269.10	$1,504.62	$1,504.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.30 / $397.80 / $1,333.80	Facility		$339.30	$397.80	$1,333.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.30 / $339.30 / $339.30	Professional		$339.30	$339.30	$339.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.30 / $397.80 / $1,333.80	Facility		$339.30	$397.80	$1,333.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $210.60 / $339.30	Professional		$210.60	$210.60	$339.30
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $234.00	Professional		$98.28	$98.28	$234.00