Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.09 / $1,238.08 / $4,410.18	Professional		$926.09	$1,238.08	$4,410.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.97 / $1,374.97 / $1,374.97	Facility		$1,374.97	$1,374.97	$1,374.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.13 / $1,323.47 / $1,374.97	Professional		$689.13	$1,323.47	$1,374.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.34 / $927.22 / $1,374.97	Facility		$674.34	$927.22	$1,374.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.36 / $1,323.47 / $1,824.90	Professional		$843.36	$1,323.47	$1,824.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.11 / $1,337.59 / $1,518.59	Professional		$1,126.11	$1,337.59	$1,518.59