Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.48 / $422.48 / $422.48	Professional		$422.48	$422.48	$422.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $397.50 / $397.50	Facility		$397.50	$397.50	$397.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $397.50 / $397.50	Professional		$397.50	$397.50	$397.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $397.50 / $397.50	Facility		$397.50	$397.50	$397.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $475.37 / $1,421.70	Professional		$397.50	$475.37	$1,421.70
United Facility/Professional Professional Modifier Low / Median / High Price $808.53 / $1,178.56 / $1,320.80	Professional		$808.53	$1,178.56	$1,320.80