Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.50 / $632.50 / $632.50	Professional		$632.50	$632.50	$632.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.25 / $1,034.25 / $1,034.25	Facility		$1,034.25	$1,034.25	$1,034.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $1,034.25	Professional		$540.82	$540.82	$1,034.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.25 / $1,034.25 / $1,034.25	Facility		$1,034.25	$1,034.25	$1,034.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.33 / $903.29 / $1,172.71	Professional		$603.33	$903.29	$1,172.71
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.35 / $994.31 / $1,291.91	Professional		$876.35	$994.31	$1,291.91