Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.83 / $448.83 / $448.83	Professional		$448.83	$448.83	$448.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $255.74 / $1,000.20	Professional		$56.76	$255.74	$1,000.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $255.74 / $727.30	Facility		$56.68	$255.74	$727.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $255.74 / $1,000.20	Professional		$56.76	$255.74	$1,000.20
United Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $314.41 / $524.02	Professional		$295.22	$314.41	$524.02