Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.50 / $717.82 / $1,136.16	Professional		$701.50	$717.82	$1,136.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,201.45 / $1,201.45 / $1,201.45	Facility		$1,201.45	$1,201.45	$1,201.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.47 / $1,201.45 / $1,201.45	Professional		$1,003.47	$1,201.45	$1,201.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.45 / $1,201.45 / $1,201.45	Facility		$1,201.45	$1,201.45	$1,201.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.05 / $1,038.51 / $1,586.20	Professional		$733.05	$1,038.51	$1,586.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.02 / $1,359.60 / $2,991.11	Professional		$1,065.02	$1,359.60	$2,991.11