Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.90 / $3,788.73 / $4,596.64	Professional		$693.90	$3,788.73	$4,596.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.15 / $1,134.15 / $1,134.15	Facility		$1,134.15	$1,134.15	$1,134.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.62 / $1,212.84 / $1,471.30	Professional		$810.62	$1,212.84	$1,471.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.21 / $849.79 / $1,604.54	Facility		$637.21	$849.79	$1,604.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.62 / $1,177.36 / $1,636.77	Professional		$810.62	$1,177.36	$1,636.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.94 / $1,444.20 / $1,578.16	Professional		$1,217.94	$1,444.20	$1,578.16