Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.66 / $1,121.70 / $4,401.22	Professional		$813.66	$1,121.70	$4,401.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.35 / $1,240.35 / $1,240.35	Facility		$1,240.35	$1,240.35	$1,240.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.50 / $1,240.35 / $1,548.70	Professional		$782.50	$1,240.35	$1,548.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.45 / $857.24 / $1,325.89	Facility		$623.45	$857.24	$1,325.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.34 / $1,240.35 / $1,684.98	Professional		$745.34	$1,240.35	$1,684.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.49 / $1,402.43 / $1,559.67	Professional		$1,179.49	$1,402.43	$1,559.67