Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $594.98 / $594.98	Facility		$384.85	$594.98	$594.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $488.76 / $1,156.97	Professional		$384.85	$488.76	$1,156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Facility		$384.85	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.03 / $384.85 / $384.85	Facility		$378.03	$384.85	$384.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85