Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.26 / $1,089.02 / $3,954.22	Professional		$801.26	$1,089.02	$3,954.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,201.45 / $1,201.45 / $1,201.45	Facility		$1,201.45	$1,201.45	$1,201.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.94 / $1,201.45 / $1,424.74	Professional		$676.94	$1,201.45	$1,424.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.91 / $815.27 / $1,201.45	Facility		$592.91	$815.27	$1,201.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.02 / $1,201.45 / $1,588.30	Professional		$734.02	$1,201.45	$1,588.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.30 / $1,235.40 / $1,411.14	Professional		$1,086.30	$1,235.40	$1,411.14