Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.41 / $1,093.39 / $4,073.69	Professional		$828.41	$1,093.39	$4,073.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,242.99 / $1,242.99 / $1,242.99	Facility		$1,242.99	$1,242.99	$1,242.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.66 / $1,242.99 / $1,306.01	Professional		$632.66	$1,242.99	$1,306.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.67 / $789.30 / $1,242.99	Facility		$615.67	$789.30	$1,242.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.21 / $1,242.99 / $1,618.40	Professional		$747.21	$1,242.99	$1,618.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $1,256.64 / $1,436.16	Professional		$1,054.68	$1,256.64	$1,436.16