Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $314.70 / $314.70	Professional		$314.70	$314.70	$314.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.01 / $469.01 / $469.01	Facility		$469.01	$469.01	$469.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.01 / $469.01 / $469.01	Professional		$469.01	$469.01	$469.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.01 / $469.01 / $469.01	Facility		$469.01	$469.01	$469.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.12 / $405.23 / $584.50	Professional		$270.12	$405.23	$584.50
United Facility/Professional Professional Modifier Low / Median / High Price $377.23 / $465.52 / $819.49	Professional		$377.23	$465.52	$819.49