Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.85 / $714.28 / $760.15	Professional		$661.85	$714.28	$760.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.20 / $1,073.20 / $1,073.20	Facility		$1,073.20	$1,073.20	$1,073.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $1,073.20 / $1,073.20	Professional		$655.29	$1,073.20	$1,073.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $1,073.20 / $1,270.39	Facility		$655.29	$1,073.20	$1,270.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.94 / $710.94 / $1,515.58	Professional		$710.94	$710.94	$1,515.58
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29