Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.13 / $302.13 / $302.13	Professional		$302.13	$302.13	$302.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.94 / $380.94 / $380.94	Facility		$380.94	$380.94	$380.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $380.94 / $380.94	Professional		$380.94	$380.94	$380.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.94 / $380.94 / $380.94	Facility		$380.94	$380.94	$380.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $315.26 / $380.94	Professional		$315.26	$315.26	$380.94
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $262.72	Professional		$110.34	$110.34	$262.72