Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $692.86 / $829.95	Professional		$686.00	$692.86	$829.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $787.15 / $787.15	Facility		$787.15	$787.15	$787.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $787.15	Professional		$686.00	$686.00	$787.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $754.60 / $830.06	Facility		$686.00	$754.60	$830.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $787.15 / $873.68	Professional		$686.00	$787.15	$873.68
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00