Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.50 / $862.50 / $862.50	Professional		$862.50	$862.50	$862.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.50 / $1,087.50 / $1,087.50	Facility		$1,087.50	$1,087.50	$1,087.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.50 / $1,087.50 / $1,087.50	Professional		$1,087.50	$1,087.50	$1,087.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,087.50 / $1,087.50 / $1,087.50	Facility		$1,087.50	$1,087.50	$1,087.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $675.00 / $1,087.50	Professional		$675.00	$675.00	$1,087.50
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $750.00	Professional		$315.00	$315.00	$750.00