Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $1,035.00 / $5,787.00	Professional		$306.00	$1,035.00	$5,787.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,530.00 / $5,130.00	Facility		$1,305.00	$1,530.00	$5,130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,305.00	Professional		$1,305.00	$1,305.00	$1,305.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,530.00 / $5,130.00	Facility		$1,305.00	$1,530.00	$5,130.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $1,305.00	Professional		$810.00	$810.00	$1,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $900.00	Professional		$378.00	$378.00	$900.00