Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.16 / $634.16 / $634.16	Professional		$634.16	$634.16	$634.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.09 / $929.09 / $929.09	Facility		$929.09	$929.09	$929.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.09 / $929.09 / $929.09	Professional		$929.09	$929.09	$929.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.09 / $929.09 / $929.09	Facility		$929.09	$929.09	$929.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $929.09 / $1,111.08 / $1,307.23	Professional		$929.09	$1,111.08	$1,307.23
United Facility/Professional Professional Modifier Low / Median / High Price $900.67 / $1,059.59 / $1,634.48	Professional		$900.67	$1,059.59	$1,634.48