Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.90 / $1,149.96 / $4,076.53	Professional		$858.90	$1,149.96	$4,076.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.07 / $1,275.07 / $1,275.07	Facility		$1,275.07	$1,275.07	$1,275.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.73 / $1,243.15 / $1,275.07	Professional		$576.73	$1,243.15	$1,275.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $858.00 / $1,263.74	Facility		$624.00	$858.00	$1,263.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.87 / $1,243.15 / $1,694.00	Professional		$782.87	$1,243.15	$1,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.53 / $1,238.71 / $1,902.32	Professional		$1,007.53	$1,238.71	$1,902.32