Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.55 / $648.55 / $648.55	Professional		$648.55	$648.55	$648.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $1,790.07 / $1,790.07	Facility		$941.33	$1,790.07	$1,790.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,455.70 / $1,790.07	Professional		$941.33	$1,455.70	$1,790.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $839.89 / $1,704.83 / $1,790.07	Facility		$839.89	$1,704.83	$1,790.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,343.53 / $1,791.37	Professional		$941.33	$1,343.53	$1,791.37
United Facility/Professional Professional Modifier Low / Median / High Price $679.27 / $751.55 / $860.32	Professional		$679.27	$751.55	$860.32