Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.41 / $1,286.67 / $4,791.01	Professional		$979.41	$1,286.67	$4,791.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.25 / $1,462.25 / $1,462.25	Facility		$1,462.25	$1,462.25	$1,462.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $1,462.25 / $1,534.15	Professional		$775.60	$1,462.25	$1,534.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.83 / $995.27 / $1,462.25	Facility		$723.83	$995.27	$1,462.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.16 / $1,462.25 / $1,911.00	Professional		$883.16	$1,462.25	$1,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.45 / $1,507.65 / $1,692.80	Professional		$1,272.45	$1,507.65	$1,692.80