Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.95 / $625.95 / $625.95	Professional		$625.95	$625.95	$625.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.15 / $1,032.15 / $1,032.15	Facility		$1,032.15	$1,032.15	$1,032.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.15 / $1,032.15 / $1,032.15	Professional		$1,032.15	$1,032.15	$1,032.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,032.15 / $1,032.15 / $1,032.15	Facility		$1,032.15	$1,032.15	$1,032.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.68 / $1,094.99 / $1,290.21	Professional		$814.68	$1,094.99	$1,290.21
United Facility/Professional Professional Modifier Low / Median / High Price $847.11 / $996.60 / $1,613.19	Professional		$847.11	$996.60	$1,613.19