Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.86 / $516.86 / $516.86	Professional		$516.86	$516.86	$516.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.67 / $818.67 / $818.67	Facility		$818.67	$818.67	$818.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.67 / $818.67 / $818.67	Professional		$818.67	$818.67	$818.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.67 / $818.67 / $818.67	Facility		$818.67	$818.67	$818.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $818.67 / $1,008.00 / $1,065.31	Professional		$818.67	$1,008.00	$1,065.31
United Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $864.00 / $1,332.01	Professional		$734.40	$864.00	$1,332.01