Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.98 / $1,222.28 / $4,545.74	Professional		$928.98	$1,222.28	$4,545.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.16 / $1,389.16 / $1,389.16	Facility		$1,389.16	$1,389.16	$1,389.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.73 / $1,389.16 / $1,453.84	Professional		$722.73	$1,389.16	$1,453.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.72 / $945.62 / $1,389.16	Facility		$687.72	$945.62	$1,389.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.19 / $1,389.16 / $1,813.70	Professional		$838.19	$1,389.16	$1,813.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.82 / $1,428.43 / $1,603.84	Professional		$1,177.82	$1,428.43	$1,603.84