Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.34 / $1,061.34 / $1,061.34	Professional		$1,061.34	$1,061.34	$1,061.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $107.63 / $144.13	Professional		$107.63	$107.63	$144.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $171.64 / $521.10	Facility		$102.98	$171.64	$521.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $144.13 / $223.08	Professional		$107.63	$144.13	$223.08
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $80.72 / $746.34	Professional		$72.95	$80.72	$746.34