Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.18 / $1,040.78 / $3,710.05	Professional		$806.18	$1,040.78	$3,710.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $1,179.36 / $1,179.36	Facility		$1,179.36	$1,179.36	$1,179.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $963.38 / $1,179.36	Professional		$580.91	$963.38	$1,179.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.27 / $633.17 / $1,179.36	Facility		$582.27	$633.17	$1,179.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.08 / $1,081.73 / $1,560.30	Professional		$721.08	$1,081.73	$1,560.30
United Facility/Professional Professional Modifier Low / Median / High Price $969.61 / $1,191.32 / $1,320.32	Professional		$969.61	$1,191.32	$1,320.32