Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.60 / $1,195.77 / $4,457.25	Professional		$909.60	$1,195.77	$4,457.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,358.14 / $1,358.14 / $1,358.14	Facility		$1,358.14	$1,358.14	$1,358.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.55 / $1,358.14 / $1,432.30	Professional		$711.55	$1,358.14	$1,432.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.19 / $924.26 / $1,358.14	Facility		$672.19	$924.26	$1,358.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.07 / $1,358.14 / $1,774.50	Professional		$820.07	$1,358.14	$1,774.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.67 / $1,402.78 / $1,575.05	Professional		$1,156.67	$1,402.78	$1,575.05