Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.45 / $2,221.39 / $2,221.39	Professional		$640.45	$2,221.39	$2,221.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $808.41 / $808.41	Facility		$496.34	$808.41	$808.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $808.41 / $808.41	Professional		$496.34	$808.41	$808.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.24 / $769.91 / $808.41	Facility		$429.24	$769.91	$808.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.74 / $620.19 / $822.65	Professional		$606.74	$620.19	$822.65
United Facility/Professional Professional Modifier Low / Median / High Price $347.15 / $384.10 / $591.89	Professional		$347.15	$384.10	$591.89