Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.91 / $979.29 / $3,641.67	Professional		$742.91	$979.29	$3,641.67
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 $567.59 / $1,113.64 / $1,164.58	Professional		$567.59	$1,113.64	$1,164.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.41 / $744.50 / $1,113.64	Facility		$552.41	$744.50	$1,113.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.94 / $1,113.64 / $1,451.80	Professional		$670.94	$1,113.64	$1,451.80
United Facility/Professional Professional Modifier Low / Median / High Price $895.39 / $1,102.20 / $1,270.14	Professional		$895.39	$1,102.20	$1,270.14