Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $904.80 / $904.80	Professional		$904.80	$904.80	$904.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.01 / $1,737.01 / $1,737.01	Facility		$1,737.01	$1,737.01	$1,737.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.01 / $1,737.01 / $1,737.01	Professional		$1,737.01	$1,737.01	$1,737.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.01 / $1,737.01 / $1,737.01	Facility		$1,737.01	$1,737.01	$1,737.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,450.00 / $2,156.29	Professional		$1,392.00	$1,450.00	$2,156.29
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,160.00	Professional		$487.20	$487.20	$1,160.00