Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $299.58 / $299.58	Professional		$299.58	$299.58	$299.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Facility		$1,076.29	$1,076.29	$1,076.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Professional		$1,076.29	$1,076.29	$1,076.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Facility		$1,076.29	$1,076.29	$1,076.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.72 / $927.84 / $1,076.29	Professional		$890.72	$927.84	$1,076.29
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $742.27	Professional		$311.75	$311.75	$742.27