Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.76 / $1,105.02 / $4,104.62	Professional		$837.76	$1,105.02	$4,104.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.19 / $1,257.19 / $1,257.19	Facility		$1,257.19	$1,257.19	$1,257.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.27 / $1,257.19 / $1,310.08	Professional		$652.27	$1,257.19	$1,310.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $855.81 / $1,257.19	Facility		$622.41	$855.81	$1,257.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.67 / $1,257.19 / $1,637.30	Professional		$756.67	$1,257.19	$1,637.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.67 / $1,288.77 / $1,447.04	Professional		$1,062.67	$1,288.77	$1,447.04