Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.34 / $819.34 / $819.34	Professional		$819.34	$819.34	$819.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.61 / $1,100.61 / $1,425.00	Facility		$1,100.61	$1,100.61	$1,425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.61 / $1,100.61 / $1,100.61	Professional		$1,100.61	$1,100.61	$1,100.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,100.61 / $1,100.61 / $1,425.00	Facility		$1,100.61	$1,100.61	$1,425.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $948.81 / $1,100.61	Professional		$910.86	$948.81	$1,100.61
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $759.05	Professional		$318.80	$318.80	$759.05