Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.33 / $865.33 / $865.33	Professional		$865.33	$865.33	$865.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.16 / $584.16 / $584.16	Facility		$584.16	$584.16	$584.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.16 / $584.16 / $584.16	Professional		$584.16	$584.16	$584.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.16 / $584.16 / $584.16	Facility		$584.16	$584.16	$584.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.16 / $1,687.70 / $1,784.40	Professional		$584.16	$1,687.70	$1,784.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.17 / $1,422.49 / $1,687.70	Professional		$1,133.17	$1,422.49	$1,687.70