Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $666.74 / $733.41	Professional		$630.51	$666.74	$733.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.62 / $1,408.62 / $1,408.62	Facility		$1,408.62	$1,408.62	$1,408.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.62 / $1,408.62 / $1,408.62	Professional		$1,408.62	$1,408.62	$1,408.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,408.62 / $1,408.62 / $1,408.62	Facility		$1,408.62	$1,408.62	$1,408.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.28 / $1,121.00 / $1,667.58	Professional		$791.28	$1,121.00	$1,667.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.78 / $1,385.81 / $1,557.83	Professional		$1,248.78	$1,385.81	$1,557.83