Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.38 / $1,020.95 / $3,778.08	Professional		$767.38	$1,020.95	$3,778.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.81 / $1,157.81 / $1,157.81	Facility		$1,157.81	$1,157.81	$1,157.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.49 / $1,157.81 / $1,201.25	Professional		$597.49	$1,157.81	$1,201.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.70 / $756.23 / $1,157.81	Facility		$574.70	$756.23	$1,157.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.88 / $1,157.81 / $1,503.60	Professional		$694.88	$1,157.81	$1,503.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.22 / $1,159.76 / $1,312.60	Professional		$1,056.22	$1,159.76	$1,312.60