Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.54 / $3,760.70 / $3,760.70	Professional		$825.54	$3,760.70	$3,760.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.69 / $1,175.69 / $1,175.69	Facility		$1,175.69	$1,175.69	$1,175.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $1,175.69 / $1,175.69	Professional		$733.41	$1,175.69	$1,175.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $1,175.69 / $1,256.78	Facility		$573.29	$1,175.69	$1,256.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.08 / $1,081.73 / $1,560.30	Professional		$721.08	$1,081.73	$1,560.30
United Facility/Professional Professional Modifier Low / Median / High Price $951.27 / $1,194.15 / $2,075.69	Professional		$951.27	$1,194.15	$2,075.69