Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $878.95 / $878.95	Facility		$572.96	$878.95	$878.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $789.31	Professional		$572.96	$572.96	$789.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Facility		$572.96	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $1,430.08	Facility		$572.96	$572.96	$1,430.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96