Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,140.00 / $2,280.00	Facility		$570.00	$1,140.00	$2,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $912.00 / $912.00	Professional		$570.00	$912.00	$912.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $494.00	Facility		$494.00	$494.00	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $760.00 / $912.00	Facility		$722.00	$760.00	$912.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $760.00 / $760.00	Professional		$623.20	$760.00	$760.00
United Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $684.00 / $684.00	Facility		$684.00	$684.00	$684.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00