Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $168.84 / $168.84	Professional		$168.84	$168.84	$168.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $43.00 / $69.00	Facility		$27.34	$43.00	$69.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $168.84 / $168.84	Professional		$168.84	$168.84	$168.84