Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.86 / $757.26 / $1,298.49	Professional		$631.86	$757.26	$1,298.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,209.33 / $1,209.33 / $1,209.33	Facility		$1,209.33	$1,209.33	$1,209.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.60 / $1,209.33 / $1,265.27	Professional		$628.60	$1,209.33	$1,265.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $821.64 / $1,209.33	Facility		$599.66	$821.64	$1,209.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.55 / $1,209.33 / $1,574.30	Professional		$727.55	$1,209.33	$1,574.30
United Facility/Professional Professional Modifier Low / Median / High Price $993.99 / $1,233.49 / $1,393.28	Professional		$993.99	$1,233.49	$1,393.28