Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.28 / $1,185.94 / $4,447.89	Professional		$895.28	$1,185.94	$4,447.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.95 / $1,333.95 / $1,333.95	Facility		$1,333.95	$1,333.95	$1,333.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.58 / $1,333.95 / $1,399.13	Professional		$714.58	$1,333.95	$1,399.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.20 / $907.78 / $1,333.95	Facility		$660.20	$907.78	$1,333.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.37 / $1,333.95 / $1,753.50	Professional		$810.37	$1,333.95	$1,753.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.80 / $1,390.08 / $1,561.60	Professional		$1,146.80	$1,390.08	$1,561.60