Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.85 / $645.85 / $645.85	Professional		$645.85	$645.85	$645.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.98 / $1,150.98 / $1,150.98	Facility		$1,150.98	$1,150.98	$1,150.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.33 / $1,150.98 / $1,150.98	Professional		$889.33	$1,150.98	$1,150.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.79 / $709.74 / $1,150.98	Facility		$567.79	$709.74	$1,150.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $954.10 / $1,376.20	Professional		$636.00	$954.10	$1,376.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.66 / $1,159.94 / $2,014.64	Professional		$1,002.66	$1,159.94	$2,014.64