Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.04 / $607.04 / $607.04	Professional		$607.04	$607.04	$607.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $765.41 / $765.41	Facility		$765.41	$765.41	$765.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $765.41 / $765.41	Professional		$765.41	$765.41	$765.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $765.41 / $765.41	Facility		$765.41	$765.41	$765.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $475.08 / $765.41	Professional		$475.08	$475.08	$765.41
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $527.87	Professional		$221.71	$221.71	$527.87