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 $437.50 / $735.62 / $735.62	Facility		$437.50	$735.62	$735.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $735.62 / $735.62	Professional		$437.50	$735.62	$735.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $700.59 / $735.62	Facility		$437.50	$700.59	$735.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $552.11 / $736.15	Professional		$437.50	$552.11	$736.15
United Facility/Professional Professional Modifier Low / Median / High Price $290.72 / $308.85 / $489.83	Professional		$290.72	$308.85	$489.83