Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $1,007.45 / $3,751.23	Professional		$763.90	$1,007.45	$3,751.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.19 / $1,145.19 / $1,145.19	Facility		$1,145.19	$1,145.19	$1,145.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.65 / $1,145.19 / $1,201.25	Professional		$590.65	$1,145.19	$1,201.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.39 / $780.16 / $1,145.19	Facility		$567.39	$780.16	$1,145.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.70 / $1,145.19 / $1,492.40	Professional		$689.70	$1,145.19	$1,492.40
United Facility/Professional Professional Modifier Low / Median / High Price $971.02 / $1,156.96 / $1,322.23	Professional		$971.02	$1,156.96	$1,322.23