Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.63 / $2,942.83 / $2,942.83	Professional		$651.63	$2,942.83	$2,942.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.80 / $902.80 / $902.80	Facility		$902.80	$902.80	$902.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.67 / $902.80 / $902.80	Professional		$735.67	$902.80	$902.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.80 / $1,156.34 / $1,211.24	Facility		$902.80	$1,156.34	$1,211.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.19 / $783.69 / $1,197.00	Professional		$553.19	$783.69	$1,197.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.95 / $1,044.70 / $1,578.96	Professional		$791.95	$1,044.70	$1,578.96