Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $1,951.56 / $1,951.56	Professional		$266.52	$1,951.56	$1,951.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $735.62 / $735.62	Facility		$386.84	$735.62	$735.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $598.20 / $735.62	Professional		$386.84	$598.20	$735.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.14 / $700.59 / $735.62	Facility		$345.14	$700.59	$735.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $552.11 / $736.15	Professional		$386.84	$552.11	$736.15
United Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $308.85 / $472.62	Professional		$279.14	$308.85	$472.62