Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.48 / $1,040.29 / $3,708.21	Professional		$805.48	$1,040.29	$3,708.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.32 / $1,178.32 / $1,178.32	Facility		$1,178.32	$1,178.32	$1,178.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.64 / $962.90 / $1,178.32	Professional		$580.64	$962.90	$1,178.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.76 / $632.89 / $1,178.32	Facility		$581.76	$632.89	$1,178.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.43 / $1,080.76 / $1,558.90	Professional		$720.43	$1,080.76	$1,558.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.03 / $1,190.74 / $1,319.68	Professional		$1,047.03	$1,190.74	$1,319.68