Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $903.14 / $4,291.52	Professional		$685.77	$903.14	$4,291.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,340.26 / $1,340.26	Facility		$1,340.26	$1,340.26	$1,340.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.06 / $1,314.16 / $1,340.26	Professional		$659.06	$1,314.16	$1,340.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.57 / $904.16 / $1,340.26	Facility		$657.57	$904.16	$1,340.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.66 / $1,314.16 / $1,780.10	Professional		$822.66	$1,314.16	$1,780.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.63 / $1,304.24 / $1,476.12	Professional		$1,094.63	$1,304.24	$1,476.12