Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.14 / $1,484.95 / $1,484.95	Professional		$428.14	$1,484.95	$1,484.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $462.76 / $462.76	Facility		$315.70	$462.76	$462.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $376.31 / $462.76	Professional		$315.70	$376.31	$462.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.71 / $440.72 / $462.76	Facility		$245.71	$440.72	$462.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $347.32 / $496.38	Professional		$315.70	$347.32	$496.38
United Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $219.87 / $366.45	Professional		$198.72	$219.87	$366.45