Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $248.41 / $248.41	Professional		$248.41	$248.41	$248.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.46 / $386.46 / $386.46	Facility		$386.46	$386.46	$386.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.46 / $386.46 / $386.46	Professional		$386.46	$386.46	$386.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.46 / $386.46 / $386.46	Facility		$386.46	$386.46	$386.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.46 / $434.50 / $511.20	Professional		$386.46	$434.50	$511.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.77 / $401.36 / $484.40	Professional		$366.77	$401.36	$484.40