Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.80 / $349.80 / $349.80	Facility		$349.80	$349.80	$349.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $318.14 / $349.80	Professional		$318.14	$318.14	$349.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $326.48 / $326.48	Facility		$275.00	$326.48	$326.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
United Facility/Professional Professional Modifier Low / Median / High Price $339.28 / $349.80 / $360.30	Professional		$339.28	$349.80	$360.30