Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $974.75 / $1,694.26	Professional		$243.69	$974.75	$1,694.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,385.55 / $2,385.55 / $2,385.55	Facility		$2,385.55	$2,385.55	$2,385.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.55 / $2,385.55 / $2,385.55	Professional		$2,385.55	$2,385.55	$2,385.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,385.55 / $2,385.55 / $2,385.55	Facility		$2,385.55	$2,385.55	$2,385.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,365.03 / $2,080.21 / $3,177.30	Professional		$1,365.03	$2,080.21	$3,177.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,103.42 / $2,427.03 / $4,124.08	Professional		$2,103.42	$2,427.03	$4,124.08