Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.98 / $2,612.36 / $2,612.36	Professional		$559.98	$2,612.36	$2,612.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.14 / $767.14 / $767.14	Facility		$767.14	$767.14	$767.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.17 / $767.14 / $767.14	Professional		$604.17	$767.14	$767.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.14 / $983.45 / $1,006.94	Facility		$767.14	$983.45	$1,006.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.87 / $674.16 / $1,029.70	Professional		$475.87	$674.16	$1,029.70
United Facility/Professional Professional Modifier Low / Median / High Price $771.63 / $892.20 / $1,353.27	Professional		$771.63	$892.20	$1,353.27