Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $568.26 / $3,331.12	Professional		$568.26	$568.26	$3,331.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.60 / $1,041.60 / $1,041.60	Facility		$1,041.60	$1,041.60	$1,041.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.19 / $1,041.60 / $1,041.60	Professional		$675.19	$1,041.60	$1,041.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.57 / $1,041.60 / $1,130.28	Facility		$505.57	$1,041.60	$1,130.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.27 / $957.50 / $1,381.10	Professional		$638.27	$957.50	$1,381.10
United Facility/Professional Professional Modifier Low / Median / High Price $844.12 / $1,041.68 / $1,838.90	Professional		$844.12	$1,041.68	$1,838.90