Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.72 / $3,771.80 / $3,771.80	Professional		$827.72	$3,771.80	$3,771.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.61 / $1,133.61 / $1,133.61	Facility		$1,133.61	$1,133.61	$1,133.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $1,133.61 / $1,133.61	Professional		$982.06	$1,133.61	$1,133.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.61 / $1,133.61 / $1,133.61	Facility		$1,133.61	$1,133.61	$1,133.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.29 / $996.34 / $1,521.80	Professional		$703.29	$996.34	$1,521.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.64 / $1,294.20 / $1,996.16	Professional		$1,121.64	$1,294.20	$1,996.16