Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.91 / $769.91 / $769.91	Professional		$769.91	$769.91	$769.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.11 / $1,164.11 / $1,164.11	Facility		$1,164.11	$1,164.11	$1,164.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.11 / $1,164.11 / $1,164.11	Professional		$1,164.11	$1,164.11	$1,164.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,164.11 / $1,164.11 / $1,164.11	Facility		$1,164.11	$1,164.11	$1,164.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.11 / $1,393.00 / $1,688.22	Professional		$1,164.11	$1,393.00	$1,688.22
United Facility/Professional Professional Modifier Low / Median / High Price $506.43 / $595.79 / $1,310.75	Professional		$506.43	$595.79	$1,310.75