Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.24 / $881.32 / $3,266.33	Professional		$665.24	$881.32	$3,266.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.70 / $1,002.70 / $1,002.70	Facility		$1,002.70	$1,002.70	$1,002.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.21 / $1,002.70 / $1,041.20	Professional		$514.21	$1,002.70	$1,041.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.20 / $683.65 / $1,002.70	Facility		$497.20	$683.65	$1,002.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.71 / $1,002.70 / $1,302.00	Professional		$601.71	$1,002.70	$1,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.18 / $1,014.61 / $1,148.16	Professional		$843.18	$1,014.61	$1,148.16