Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.50 / $2,473.32 / $2,473.32	Professional		$538.50	$2,473.32	$2,473.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.68 / $757.68 / $757.68	Facility		$757.68	$757.68	$757.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.57 / $757.68 / $757.68	Professional		$529.57	$757.68	$757.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.68 / $861.90 / $923.45	Facility		$757.68	$861.90	$923.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.61 / $655.37 / $1,001.00	Professional		$462.61	$655.37	$1,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.25 / $859.32 / $1,324.59	Professional		$676.25	$859.32	$1,324.59