Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.10 / $1,267.70 / $4,717.50	Professional		$964.10	$1,267.70	$4,717.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.17 / $1,440.17 / $1,440.17	Facility		$1,440.17	$1,440.17	$1,440.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.38 / $1,440.17 / $1,510.29	Professional		$690.38	$1,440.17	$1,510.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.01 / $980.39 / $1,440.17	Facility		$713.01	$980.39	$1,440.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.57 / $1,440.17 / $1,881.60	Professional		$869.57	$1,440.17	$1,881.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.40 / $1,457.67 / $1,665.91	Professional		$1,223.40	$1,457.67	$1,665.91