Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.91 / $1,732.64 / $7,209.79	Professional		$386.91	$1,732.64	$7,209.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.42 / $528.42 / $528.42	Facility		$528.42	$528.42	$528.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.92 / $528.42 / $2,312.67	Professional		$490.92	$528.42	$2,312.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.42 / $528.42 / $528.42	Facility		$528.42	$528.42	$528.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $1,205.21 / $2,417.11	Professional		$353.65	$1,205.21	$2,417.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,991.08 / $2,373.98 / $3,555.68	Professional		$1,991.08	$2,373.98	$3,555.68