Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.80 / $1,294.80 / $1,326.00	Professional		$915.80	$1,294.80	$1,326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.05 / $276.05 / $600.12	Facility		$276.05	$276.05	$600.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.05 / $1,326.00 / $1,326.00	Professional		$276.05	$1,326.00	$1,326.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $276.05 / $1,326.00	Facility		$157.05	$276.05	$1,326.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $436.54 / $1,326.00	Professional		$325.12	$436.54	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00