Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $1,962.56 / $1,962.56	Professional		$121.10	$1,962.56	$1,962.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $467.88 / $467.88	Facility		$382.03	$467.88	$467.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $467.88 / $467.88	Professional		$382.03	$467.88	$467.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.83 / $382.03 / $467.88	Facility		$196.83	$382.03	$467.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $350.64 / $467.88	Professional		$262.98	$350.64	$467.88
United Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $257.63 / $408.60	Professional		$242.50	$257.63	$408.60