Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.63 / $1,674.00 / $1,674.00	Professional		$482.63	$1,674.00	$1,674.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $608.46 / $608.46	Facility		$499.82	$608.46	$608.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.82 / $514.80 / $608.46	Professional		$499.82	$514.80	$608.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.08 / $579.49 / $608.46	Facility		$323.08	$579.49	$608.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.68 / $499.82 / $650.67	Professional		$456.68	$499.82	$650.67
United Facility/Professional Facility Modifier Low / Median / High Price $435.59 / $435.59 / $457.75	Facility		$435.59	$435.59	$457.75
United Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $289.10 / $458.52	Professional		$261.30	$289.10	$458.52