Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $830.29 / $830.29	Facility		$529.89	$830.29	$830.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $672.96 / $1,286.76	Professional		$529.89	$672.96	$1,286.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Facility		$529.89	$529.89	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.97 / $529.89 / $529.89	Facility		$527.97	$529.89	$529.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89