Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.62 / $4,694.20 / $4,694.20	Professional		$866.62	$4,694.20	$4,694.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.30 / $1,412.30 / $1,412.30	Facility		$1,412.30	$1,412.30	$1,412.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.87 / $1,412.30 / $1,494.22	Professional		$895.87	$1,412.30	$1,494.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.13 / $964.27 / $1,983.22	Facility		$791.13	$964.27	$1,983.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $853.39 / $1,412.30 / $1,730.77	Professional		$853.39	$1,412.30	$1,730.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,299.78 / $1,492.35 / $1,630.77	Professional		$1,299.78	$1,492.35	$1,630.77