Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.38 / $1,206.90 / $4,489.02	Professional		$917.38	$1,206.90	$4,489.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,371.81 / $1,371.81 / $1,371.81	Facility		$1,371.81	$1,371.81	$1,371.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.11 / $1,251.30 / $1,371.81	Professional		$704.11	$1,251.30	$1,371.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.20 / $933.90 / $1,371.81	Facility		$679.20	$933.90	$1,371.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.84 / $1,295.53 / $1,791.30	Professional		$827.84	$1,295.53	$1,791.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.25 / $1,373.43 / $1,568.66	Professional		$1,163.25	$1,373.43	$1,568.66