Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $748.47 / $3,674.94	Professional		$620.87	$748.47	$3,674.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,124.69 / $1,124.69 / $1,124.69	Facility		$1,124.69	$1,124.69	$1,124.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.82 / $1,124.69 / $1,175.06	Professional		$535.82	$1,124.69	$1,175.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.08 / $765.99 / $1,124.69	Facility		$557.08	$765.99	$1,124.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.12 / $1,124.69 / $1,463.00	Professional		$676.12	$1,124.69	$1,463.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.80 / $1,132.86 / $1,294.71	Professional		$950.80	$1,132.86	$1,294.71