Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $513.00 / $513.00	Facility		$513.00	$513.00	$513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.98 / $971.29 / $3,605.17	Professional		$734.98	$971.29	$3,605.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.33 / $1,107.33 / $1,107.33	Facility		$1,107.33	$1,107.33	$1,107.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.75 / $1,107.33 / $1,150.60	Professional		$571.75	$1,107.33	$1,150.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.11 / $756.40 / $1,107.33	Facility		$550.11	$756.40	$1,107.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.47 / $1,107.33 / $1,437.80	Professional		$664.47	$1,107.33	$1,437.80
United Facility/Professional Professional Modifier Low / Median / High Price $931.54 / $1,109.92 / $1,279.75	Professional		$931.54	$1,109.92	$1,279.75