Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.71 / $1,052.98 / $3,919.36	Professional		$799.71	$1,052.98	$3,919.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.77 / $1,197.77 / $1,197.77	Facility		$1,197.77	$1,197.77	$1,197.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.94 / $1,197.77 / $1,255.36	Professional		$623.94	$1,197.77	$1,255.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.98 / $816.72 / $1,197.77	Facility		$593.98	$816.72	$1,197.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.73 / $1,197.77 / $1,561.70	Professional		$721.73	$1,197.77	$1,561.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.72 / $1,230.61 / $1,381.75	Professional		$1,014.72	$1,230.61	$1,381.75