Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.75 / $1,132.16 / $4,297.74	Professional		$863.75	$1,132.16	$4,297.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,320.81 / $1,320.81 / $1,320.81	Facility		$1,320.81	$1,320.81	$1,320.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.68 / $1,282.15 / $1,320.81	Professional		$685.68	$1,282.15	$1,320.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.38 / $899.77 / $1,320.81	Facility		$654.38	$899.77	$1,320.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.99 / $1,282.15 / $1,713.25	Professional		$778.99	$1,282.15	$1,713.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.83 / $1,328.32 / $1,503.38	Professional		$1,114.83	$1,328.32	$1,503.38