Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.33 / $1,425.34 / $5,403.85	Professional		$1,106.33	$1,425.34	$5,403.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,628.93 / $1,628.93 / $1,628.93	Facility		$1,628.93	$1,628.93	$1,628.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.39 / $1,628.93 / $1,732.03	Professional		$800.39	$1,628.93	$1,732.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.28 / $1,004.10 / $1,628.93	Facility		$803.28	$1,004.10	$1,628.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $937.20 / $1,628.93 / $2,147.60	Professional		$937.20	$1,628.93	$2,147.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,414.70 / $1,685.60 / $1,926.40	Professional		$1,414.70	$1,685.60	$1,926.40