Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.95 / $1,404.52 / $1,404.52	Professional		$404.95	$1,404.52	$1,404.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $511.14 / $511.14	Facility		$274.64	$511.14	$511.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $415.66 / $511.14	Professional		$274.64	$415.66	$511.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $486.80 / $511.14	Facility		$203.55	$486.80	$511.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $383.63 / $511.51	Professional		$274.64	$383.63	$511.51
United Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $182.14 / $303.57	Professional		$164.63	$182.14	$303.57