Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.91 / $1,456.46 / $1,456.46	Professional		$198.91	$1,456.46	$1,456.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $397.52 / $397.52	Facility		$236.57	$397.52	$397.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $323.27 / $397.52	Professional		$236.57	$323.27	$397.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.08 / $378.59 / $397.52	Facility		$211.08	$378.59	$397.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $298.36 / $435.38	Professional		$236.57	$298.36	$435.38
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $188.88 / $289.02	Professional		$170.71	$188.88	$289.02