Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.87 / $363.87 / $363.87	Professional		$363.87	$363.87	$363.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.75 / $575.75 / $575.75	Facility		$575.75	$575.75	$575.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.75 / $575.75 / $575.75	Professional		$575.75	$575.75	$575.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.75 / $575.75 / $575.75	Facility		$575.75	$575.75	$575.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.75 / $709.80 / $749.42	Professional		$575.75	$709.80	$749.42
United Facility/Professional Professional Modifier Low / Median / High Price $479.90 / $584.03 / $1,242.10	Professional		$479.90	$584.03	$1,242.10