Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Professional		$690.00	$690.00	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $870.00	Professional		$540.00	$540.00	$870.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $301.35	Professional		$126.57	$126.57	$301.35