Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.86 / $3,328.48 / $3,328.48	Professional		$721.86	$3,328.48	$3,328.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.43 / $1,007.43 / $1,007.43	Facility		$1,007.43	$1,007.43	$1,007.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.19 / $1,007.43 / $1,007.43	Professional		$753.19	$1,007.43	$1,007.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,007.43 / $1,206.40 / $1,257.41	Facility		$1,007.43	$1,206.40	$1,257.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.89 / $875.35 / $1,337.00	Professional		$617.89	$875.35	$1,337.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.56 / $1,126.80 / $1,766.76	Professional		$946.56	$1,126.80	$1,766.76