Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $776.07 / $776.07	Facility		$498.14	$776.07	$776.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $632.63 / $1,286.08	Professional		$498.14	$632.63	$1,286.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Facility		$498.14	$498.14	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.38 / $498.14 / $498.14	Facility		$495.38	$498.14	$498.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14