Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.34 / $397.34 / $397.34	Professional		$397.34	$397.34	$397.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.08 / $613.08 / $728.75	Facility		$613.08	$613.08	$728.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.08 / $613.08 / $613.08	Professional		$613.08	$613.08	$613.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.08 / $613.08 / $728.75	Facility		$613.08	$613.08	$728.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.63 / $315.45 / $818.96	Professional		$202.63	$315.45	$818.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.53 / $474.87 / $552.79	Professional		$418.53	$474.87	$552.79