Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.74 / $431.74 / $431.74	Professional		$431.74	$431.74	$431.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.64 / $685.64 / $685.64	Facility		$685.64	$685.64	$685.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.64 / $685.64 / $685.64	Professional		$685.64	$685.64	$685.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.64 / $685.64 / $685.64	Facility		$685.64	$685.64	$685.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $685.64 / $842.10 / $889.98	Professional		$685.64	$842.10	$889.98
United Facility/Professional Professional Modifier Low / Median / High Price $428.64 / $547.21 / $1,112.77	Professional		$428.64	$547.21	$1,112.77