Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.43 / $347.43 / $347.43	Professional		$347.43	$347.43	$347.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.50 / $509.50 / $605.63	Facility		$509.50	$509.50	$605.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.50 / $509.50 / $509.50	Professional		$509.50	$509.50	$509.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.50 / $509.50 / $605.63	Facility		$509.50	$509.50	$605.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.50 / $608.67 / $716.13	Professional		$509.50	$608.67	$716.13
United Facility/Professional Professional Modifier Low / Median / High Price $493.68 / $580.79 / $895.40	Professional		$493.68	$580.79	$895.40