Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $427.97 / $490.79	Professional		$392.63	$427.97	$490.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.39 / $458.39 / $903.25	Facility		$458.39	$458.39	$903.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $458.39	Professional		$392.63	$392.63	$458.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $455.45 / $519.63	Facility		$165.63	$455.45	$519.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $452.26 / $500.04	Professional		$372.73	$452.26	$500.04
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63