Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.33 / $1,148.60 / $4,086.54	Professional		$676.33	$1,148.60	$4,086.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,010.59 / $1,010.59 / $1,010.59	Facility		$1,010.59	$1,010.59	$1,010.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $909.53 / $1,259.16	Professional		$558.71	$909.53	$1,259.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.61 / $647.76 / $1,010.59	Facility		$498.61	$647.76	$1,010.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.87 / $1,063.26 / $1,545.60	Professional		$677.87	$1,063.26	$1,545.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.85 / $1,228.34 / $1,546.29	Professional		$1,012.85	$1,228.34	$1,546.29