Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.64 / $1,146.51 / $4,255.31	Professional		$870.64	$1,146.51	$4,255.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.46 / $1,303.46 / $1,303.46	Facility		$1,303.46	$1,303.46	$1,303.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.05 / $1,303.46 / $1,370.61	Professional		$682.05	$1,303.46	$1,370.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $887.70 / $1,303.46	Facility		$645.60	$887.70	$1,303.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.46 / $1,303.46 / $1,699.60	Professional		$785.46	$1,303.46	$1,699.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.08 / $1,337.78 / $1,531.20	Professional		$1,103.08	$1,337.78	$1,531.20