Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.62 / $1,989.59 / $1,989.59	Professional		$573.62	$1,989.59	$1,989.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $543.04 / $543.04	Facility		$364.44	$543.04	$543.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $441.61 / $543.04	Professional		$364.44	$441.61	$543.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $517.17 / $543.04	Facility		$288.33	$517.17	$543.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $407.57 / $594.76	Professional		$364.44	$407.57	$594.76
United Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $258.02 / $397.59	Professional		$233.20	$258.02	$397.59