Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $254.43 / $254.43	Professional		$254.43	$254.43	$254.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.77 / $392.77 / $392.77	Facility		$392.77	$392.77	$392.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $392.77 / $392.77	Professional		$392.77	$392.77	$392.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.77 / $392.77 / $392.77	Facility		$392.77	$392.77	$392.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $496.30 / $525.26	Professional		$392.77	$496.30	$525.26
United Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $395.89 / $656.75	Professional		$342.21	$395.89	$656.75