Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.68 / $509.68 / $509.68	Professional		$509.68	$509.68	$509.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.16 / $747.16 / $747.16	Facility		$747.16	$747.16	$747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.16 / $747.16 / $747.16	Professional		$747.16	$747.16	$747.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.16 / $747.16 / $747.16	Facility		$747.16	$747.16	$747.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.16 / $994.00 / $1,051.26	Professional		$747.16	$994.00	$1,051.26
United Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $802.20 / $1,314.43	Professional		$681.87	$802.20	$1,314.43