Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.69 / $1,035.69 / $1,035.69	Professional		$1,035.69	$1,035.69	$1,035.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $121.19	Professional		$99.82	$99.82	$121.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $171.41 / $483.26	Facility		$99.82	$171.41	$483.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $121.19 / $206.88	Professional		$99.82	$121.19	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $74.86 / $692.10	Professional		$67.66	$74.86	$692.10