Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.27 / $1,212.28 / $4,309.49	Professional		$906.27	$1,212.28	$4,309.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.05 / $1,346.05 / $1,346.05	Facility		$1,346.05	$1,346.05	$1,346.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.42 / $1,279.82 / $1,346.05	Professional		$662.42	$1,279.82	$1,346.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.15 / $907.71 / $1,346.05	Facility		$660.15	$907.71	$1,346.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.57 / $1,283.25 / $1,786.40	Professional		$825.57	$1,283.25	$1,786.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.33 / $1,309.83 / $1,482.46	Professional		$1,099.33	$1,309.83	$1,482.46