Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $2,570.40	Facility		$1,148.15	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $933.25	Professional		$512.86	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $933.25	Facility		$501.19	$741.31	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $467.74	Professional		$323.59	$323.59	$467.74