Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $1,619.24 / $1,619.24	Professional		$97.74	$1,619.24	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $385.32 / $385.32	Facility		$312.30	$385.32	$385.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.30 / $385.32 / $385.32	Professional		$312.30	$385.32	$385.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $312.30 / $385.32	Facility		$154.47	$312.30	$385.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $284.24 / $385.32	Professional		$213.18	$284.24	$385.32
United Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $209.99 / $333.04	Professional		$197.66	$209.99	$333.04