Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $874.00	Professional		$874.00	$874.00	$874.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Facility		$1,102.00	$1,102.00	$1,102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Facility		$1,102.00	$1,102.00	$1,102.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $1,102.00	Professional		$684.00	$684.00	$1,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $760.00	Professional		$319.20	$319.20	$760.00