Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.66 / $1,095.28 / $4,083.00	Professional		$792.66	$1,095.28	$4,083.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.58 / $1,183.58 / $1,183.58	Facility		$1,183.58	$1,183.58	$1,183.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.38 / $1,072.04 / $1,183.58	Professional		$537.38	$1,072.04	$1,183.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.40 / $800.13 / $1,183.58	Facility		$583.40	$800.13	$1,183.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.41 / $1,126.04 / $1,561.00	Professional		$721.41	$1,126.04	$1,561.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.61 / $1,239.83 / $1,904.03	Professional		$951.61	$1,239.83	$1,904.03