Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $415.58 / $415.58	Professional		$415.58	$415.58	$415.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.99 / $523.99 / $523.99	Facility		$523.99	$523.99	$523.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.99 / $523.99 / $523.99	Professional		$523.99	$523.99	$523.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.99 / $523.99 / $523.99	Facility		$523.99	$523.99	$523.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.64 / $433.64 / $523.99	Professional		$433.64	$433.64	$523.99
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $151.78 / $361.37	Professional		$151.78	$151.78	$361.37