Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.26 / $677.26 / $677.26	Professional		$677.26	$677.26	$677.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.40 / $986.40 / $986.40	Facility		$986.40	$986.40	$986.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.40 / $986.40 / $986.40	Professional		$986.40	$986.40	$986.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.40 / $986.40 / $986.40	Facility		$986.40	$986.40	$986.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $986.40 / $1,320.90 / $1,396.74	Professional		$986.40	$1,320.90	$1,396.74
United Facility/Professional Professional Modifier Low / Median / High Price $613.40 / $1,283.83 / $1,579.37	Professional		$613.40	$1,283.83	$1,579.37