Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $513.07 / $513.07	Facility		$329.05	$513.07	$513.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $332.39 / $460.74	Professional		$329.05	$332.39	$460.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Facility		$329.05	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.88 / $329.05 / $329.05	Facility		$317.88	$329.05	$329.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
United Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $318.85 / $318.85	Facility		$318.85	$318.85	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05