Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $213.87 / $213.87	Professional		$213.87	$213.87	$213.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.62 / $277.62 / $277.62	Facility		$277.62	$277.62	$277.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.62 / $277.62 / $277.62	Professional		$277.62	$277.62	$277.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.62 / $277.62 / $277.62	Facility		$277.62	$277.62	$277.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.62 / $382.94 / $450.54	Professional		$277.62	$382.94	$450.54
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $403.56 / $465.11	Professional		$355.68	$403.56	$465.11