Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.89 / $503.89 / $503.89	Professional		$503.89	$503.89	$503.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.44 / $681.44 / $681.44	Facility		$681.44	$681.44	$681.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.44 / $681.44 / $681.44	Professional		$681.44	$681.44	$681.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.44 / $681.44 / $681.44	Facility		$681.44	$681.44	$681.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.35 / $681.44 / $1,243.20	Professional		$381.35	$681.44	$1,243.20
United Facility/Professional Professional Modifier Low / Median / High Price $906.27 / $1,066.20 / $2,345.65	Professional		$906.27	$1,066.20	$2,345.65