Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $82.54 / $82.54	Professional		$82.54	$82.54	$82.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.97 / $1,374.97 / $1,374.97	Facility		$1,374.97	$1,374.97	$1,374.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.97 / $1,374.97 / $1,374.97	Professional		$1,374.97	$1,374.97	$1,374.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.97 / $1,374.97 / $1,374.97	Facility		$1,374.97	$1,374.97	$1,374.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $173.11 / $1,374.97	Professional		$147.13	$173.11	$1,374.97
United Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $141.00 / $216.46	Professional		$119.85	$141.00	$216.46