Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,233.91 / $4,387.18	Professional		$916.95	$1,233.91	$4,387.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,358.14 / $1,358.14 / $1,358.14	Facility		$1,358.14	$1,358.14	$1,358.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $1,120.34 / $1,358.14	Professional		$566.28	$1,120.34	$1,358.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.57 / $913.78 / $1,262.47	Facility		$664.57	$913.78	$1,262.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.92 / $1,295.69 / $1,808.80	Professional		$835.92	$1,295.69	$1,808.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.59 / $1,307.89 / $1,507.17	Professional		$1,055.59	$1,307.89	$1,507.17