Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $636.52 / $636.52	Professional		$636.52	$636.52	$636.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.81 / $892.81 / $892.81	Facility		$892.81	$892.81	$892.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.76 / $892.81 / $892.81	Professional		$746.76	$892.81	$892.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.81 / $892.81 / $892.81	Facility		$892.81	$892.81	$892.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.74 / $773.15 / $1,180.90	Professional		$545.74	$773.15	$1,180.90
United Facility/Professional Professional Modifier Low / Median / High Price $860.38 / $1,012.20 / $1,566.95	Professional		$860.38	$1,012.20	$1,566.95