Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.58 / $4,617.31 / $4,617.31	Professional		$1,024.58	$4,617.31	$4,617.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,410.72 / $1,410.72 / $1,410.72	Facility		$1,410.72	$1,410.72	$1,410.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.89 / $1,410.72 / $1,410.72	Professional		$1,104.89	$1,410.72	$1,410.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.72 / $1,820.65 / $1,903.19	Facility		$1,410.72	$1,820.65	$1,903.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $867.30 / $1,228.70 / $1,876.70	Professional		$867.30	$1,228.70	$1,876.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.12 / $1,593.60 / $2,470.67	Professional		$1,381.12	$1,593.60	$2,470.67