Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $1,774.89 / $1,774.89	Professional		$98.56	$1,774.89	$1,774.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $147.22 / $147.22	Facility		$147.22	$147.22	$147.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,134.10 / $4,863.64 / $4,863.64	Professional		$4,134.10	$4,863.64	$4,863.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $147.22 / $6,591.60	Facility		$90.81	$147.22	$6,591.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $3,240.93 / $6,070.31	Professional		$177.10	$3,240.93	$6,070.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,031.07 / $3,374.20 / $3,717.34	Professional		$3,031.07	$3,374.20	$3,717.34