Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.52 / $1,075.70 / $3,990.32	Professional		$814.52	$1,075.70	$3,990.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,225.10 / $1,225.10 / $1,225.10	Facility		$1,225.10	$1,225.10	$1,225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.88 / $1,225.10 / $1,271.08	Professional		$631.88	$1,225.10	$1,271.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.20 / $834.90 / $1,225.10	Facility		$607.20	$834.90	$1,225.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $736.29 / $1,225.10 / $1,593.20	Professional		$736.29	$1,225.10	$1,593.20
United Facility/Professional Professional Modifier Low / Median / High Price $998.07 / $1,228.07 / $1,403.51	Professional		$998.07	$1,228.07	$1,403.51