Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.94 / $340.94 / $340.94	Professional		$340.94	$340.94	$340.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.48 / $529.48 / $529.48	Facility		$529.48	$529.48	$529.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.48 / $529.48 / $529.48	Professional		$529.48	$529.48	$529.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.48 / $529.48 / $529.48	Facility		$529.48	$529.48	$529.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.48 / $632.57 / $744.24	Professional		$529.48	$632.57	$744.24
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 $469.56 / $523.74 / $605.01	Professional		$469.56	$523.74	$605.01