Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.56 / $3,647.50 / $3,647.50	Professional		$824.56	$3,647.50	$3,647.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,176.74 / $1,176.74 / $1,176.74	Facility		$1,176.74	$1,176.74	$1,176.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.76 / $1,176.74 / $1,176.74	Professional		$610.76	$1,176.74	$1,176.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.26 / $974.35 / $1,176.74	Facility		$970.26	$974.35	$1,176.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.15 / $993.59 / $1,517.60	Professional		$670.15	$993.59	$1,517.60
United Facility/Professional Professional Modifier Low / Median / High Price $959.35 / $1,200.58 / $2,045.18	Professional		$959.35	$1,200.58	$2,045.18