Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $851.14	Professional		$436.52	$457.09	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $645.65 / $645.65	Professional		$64.57	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $457.09 / $1,174.90	Facility		$57.54	$457.09	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $1,202.26	Professional		$64.57	$87.10	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $309.03 / $616.60	Facility		$30.90	$309.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $389.05	Professional		$354.81	$389.05	$389.05