Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.07 / $422.07 / $422.07	Professional		$422.07	$422.07	$422.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.63 / $756.63 / $756.63	Facility		$756.63	$756.63	$756.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $756.63 / $756.63	Professional		$549.60	$756.63	$756.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.09 / $463.86 / $756.63	Facility		$371.09	$463.86	$756.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.96 / $594.01 / $901.07	Professional		$395.96	$594.01	$901.07
United Facility/Professional Professional Modifier Low / Median / High Price $624.23 / $722.17 / $1,325.51	Professional		$624.23	$722.17	$1,325.51