Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $758.58	Professional		$371.54	$457.09	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $371.54 / $1,000.00	Professional		$57.54	$371.54	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $323.59 / $741.31	Facility		$57.54	$323.59	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $977.24	Professional		$79.43	$371.54	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $275.42 / $501.19	Facility		$33.88	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $371.54	Professional		$295.12	$316.23	$371.54