Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.08 / $870.16 / $1,426.22	Professional		$554.08	$870.16	$1,426.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.62 / $1,459.62 / $1,459.62	Facility		$1,459.62	$1,459.62	$1,459.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.62 / $1,459.62 / $1,459.62	Professional		$1,459.62	$1,459.62	$1,459.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.91 / $820.06 / $1,459.62	Facility		$177.91	$820.06	$1,459.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $1,037.81 / $1,526.14	Professional		$210.64	$1,037.81	$1,526.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.74 / $1,548.75 / $1,968.31	Professional		$1,233.74	$1,548.75	$1,968.31