Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $774.06 / $774.06	Facility		$496.74	$774.06	$774.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $501.47 / $695.11	Professional		$496.74	$501.47	$695.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Facility		$496.74	$496.74	$496.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $496.74 / $496.74	Facility		$491.40	$496.74	$496.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74