Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.02 / $1,007.04 / $3,538.04	Professional		$749.02	$1,007.04	$3,538.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.64 / $1,113.64 / $1,113.64	Facility		$1,113.64	$1,113.64	$1,113.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.45 / $1,065.64 / $1,113.64	Professional		$536.45	$1,065.64	$1,113.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.50 / $748.69 / $1,113.64	Facility		$544.50	$748.69	$1,113.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.53 / $1,065.64 / $1,481.20	Professional		$684.53	$1,065.64	$1,481.20
United Facility/Professional Professional Modifier Low / Median / High Price $895.39 / $1,057.33 / $1,210.55	Professional		$895.39	$1,057.33	$1,210.55