Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.36 / $1,449.85 / $5,409.72	Professional		$1,103.36	$1,449.85	$5,409.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,647.86 / $1,647.86 / $1,647.86	Facility		$1,647.86	$1,647.86	$1,647.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.33 / $1,647.86 / $1,737.85	Professional		$864.33	$1,647.86	$1,737.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.75 / $1,121.66 / $1,647.86	Facility		$815.75	$1,121.66	$1,647.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.76 / $1,647.86 / $2,152.50	Professional		$994.76	$1,647.86	$2,152.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.83 / $1,703.73 / $1,912.96	Professional		$1,404.83	$1,703.73	$1,912.96