Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.67 / $1,996.57 / $1,996.57	Professional		$272.67	$1,996.57	$1,996.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $583.22 / $583.22	Facility		$324.30	$583.22	$583.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.30 / $583.22 / $583.22	Professional		$324.30	$583.22	$583.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.35 / $555.45 / $583.22	Facility		$289.35	$555.45	$583.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.73 / $447.44 / $607.96	Professional		$437.73	$447.44	$607.96
United Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $258.92 / $396.22	Professional		$234.02	$258.92	$396.22