Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.66 / $1,104.46 / $4,115.22	Professional		$838.66	$1,104.46	$4,115.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.56 / $1,254.56 / $1,254.56	Facility		$1,254.56	$1,254.56	$1,254.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.51 / $1,254.56 / $1,319.39	Professional		$615.51	$1,254.56	$1,319.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.85 / $855.04 / $1,254.56	Facility		$621.85	$855.04	$1,254.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.67 / $1,254.56 / $1,637.30	Professional		$756.67	$1,254.56	$1,637.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.89 / $1,293.89 / $1,452.79	Professional		$1,066.89	$1,293.89	$1,452.79