Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.21 / $1,121.91 / $4,169.16	Professional		$851.21	$1,121.91	$4,169.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.07 / $1,275.07 / $1,275.07	Facility		$1,275.07	$1,275.07	$1,275.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.37 / $1,275.07 / $1,331.03	Professional		$661.37	$1,275.07	$1,331.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.21 / $869.29 / $1,275.07	Facility		$632.21	$869.29	$1,275.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.64 / $1,275.07 / $1,663.20	Professional		$768.64	$1,275.07	$1,663.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.58 / $1,309.29 / $1,504.80	Professional		$1,079.58	$1,309.29	$1,504.80