Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.56 / $1,031.43 / $3,755.07	Professional		$781.56	$1,031.43	$3,755.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.80 / $1,167.80 / $1,167.80	Facility		$1,167.80	$1,167.80	$1,167.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.87 / $1,166.91 / $1,167.80	Professional		$579.87	$1,166.91	$1,167.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.03 / $787.91 / $1,167.80	Facility		$577.03	$787.91	$1,167.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.14 / $1,166.91 / $1,532.30	Professional		$708.14	$1,166.91	$1,532.30
United Facility/Professional Professional Modifier Low / Median / High Price $967.72 / $1,153.03 / $1,314.05	Professional		$967.72	$1,153.03	$1,314.05