Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.28 / $631.28 / $631.28	Professional		$631.28	$631.28	$631.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.44 / $620.44 / $620.44	Facility		$620.44	$620.44	$620.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.44 / $620.44 / $620.44	Professional		$620.44	$620.44	$620.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.44 / $620.44 / $620.44	Facility		$620.44	$620.44	$620.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.44 / $1,088.25 / $1,661.80	Professional		$620.44	$1,088.25	$1,661.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.78 / $1,400.66 / $1,661.81	Professional		$1,115.78	$1,400.66	$1,661.81