Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.77 / $1,466.35 / $1,466.35	Professional		$422.77	$1,466.35	$1,466.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $448.79 / $448.79	Facility		$299.52	$448.79	$448.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $364.96 / $448.79	Professional		$299.52	$364.96	$448.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $427.42 / $448.79	Facility		$227.67	$427.42	$448.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $336.83 / $483.19	Professional		$299.52	$336.83	$483.19
United Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $203.73 / $313.94	Professional		$184.13	$203.73	$313.94