Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $419.58 / $419.58	Professional		$419.58	$419.58	$419.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $615.19 / $615.19	Facility		$615.19	$615.19	$615.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.19 / $615.19 / $615.19	Professional		$615.19	$615.19	$615.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $615.19 / $615.19	Facility		$615.19	$615.19	$615.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.19 / $818.30 / $866.31	Professional		$615.19	$818.30	$866.31
United Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $702.00 / $1,083.18	Professional		$596.70	$702.00	$1,083.18