Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.75 / $1,211.93 / $5,962.50	Professional		$961.75	$1,211.93	$5,962.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.38 / $1,811.38 / $1,811.38	Facility		$1,811.38	$1,811.38	$1,811.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.62 / $1,811.38 / $1,919.44	Professional		$954.62	$1,811.38	$1,919.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.17 / $1,228.10 / $1,811.38	Facility		$893.17	$1,228.10	$1,811.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,091.49 / $1,811.38 / $2,361.80	Professional		$1,091.49	$1,811.38	$2,361.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.53 / $1,880.43 / $2,111.36	Professional		$1,550.53	$1,880.43	$2,111.36