Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $378.40 / $378.40	Professional		$378.40	$378.40	$378.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.68 / $1,227.68 / $1,227.68	Facility		$1,227.68	$1,227.68	$1,227.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.68 / $1,227.68 / $1,227.68	Professional		$1,227.68	$1,227.68	$1,227.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.68 / $1,227.68 / $1,227.68	Facility		$1,227.68	$1,227.68	$1,227.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,227.68 / $1,227.68 / $1,227.68	Professional		$1,227.68	$1,227.68	$1,227.68
United Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $642.52 / $727.20	Professional		$386.00	$642.52	$727.20