Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $490.19 / $625.16	Professional		$416.78	$490.19	$625.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Facility		$604.33	$604.33	$604.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Professional		$604.33	$604.33	$604.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Facility		$604.33	$604.33	$604.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $375.10 / $604.33	Professional		$375.10	$375.10	$604.33
United Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $175.07 / $416.83	Professional		$173.69	$175.07	$416.83