Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.65 / $448.65 / $448.65	Professional		$448.65	$448.65	$448.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.25 / $657.25 / $657.25	Facility		$657.25	$657.25	$657.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.25 / $657.25 / $657.25	Professional		$657.25	$657.25	$657.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.25 / $657.25 / $657.25	Facility		$657.25	$657.25	$657.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.25 / $875.00 / $925.49	Professional		$657.25	$875.00	$925.49
United Facility/Professional Professional Modifier Low / Median / High Price $598.74 / $704.40 / $1,157.18	Professional		$598.74	$704.40	$1,157.18