Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $874.00	Professional		$874.00	$874.00	$874.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Facility		$194.49	$194.49	$194.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Professional		$194.49	$194.49	$194.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Facility		$194.49	$194.49	$194.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $167.66 / $194.49	Professional		$160.96	$167.66	$194.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $134.13	Professional		$56.33	$56.33	$134.13