Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $316.05 / $316.05	Professional		$316.05	$316.05	$316.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $398.50 / $398.50	Facility		$398.50	$398.50	$398.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.50 / $398.50 / $398.50	Professional		$398.50	$398.50	$398.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $398.50 / $398.50	Facility		$398.50	$398.50	$398.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $247.35 / $398.50	Professional		$247.35	$247.35	$398.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $274.83	Professional		$115.43	$115.43	$274.83