Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.64 / $777.72 / $827.66	Professional		$720.64	$777.72	$827.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.27 / $1,113.27 / $1,113.27	Facility		$1,113.27	$1,113.27	$1,113.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,113.27 / $1,113.27	Professional		$713.50	$1,113.27	$1,113.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $1,113.27 / $1,600.93	Facility		$713.50	$1,113.27	$1,600.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.08 / $774.08 / $1,548.12	Professional		$774.08	$774.08	$1,548.12
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50