Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.95 / $625.63 / $3,293.97	Professional		$511.95	$625.63	$3,293.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.17 / $1,012.17 / $1,012.17	Facility		$1,012.17	$1,012.17	$1,012.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.08 / $1,012.17 / $1,719.69	Professional		$627.08	$1,012.17	$1,719.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.65 / $904.82 / $1,172.66	Facility		$622.65	$904.82	$1,172.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.66 / $1,014.77 / $1,690.98	Professional		$632.66	$1,014.77	$1,690.98
United Facility/Professional Professional Modifier Low / Median / High Price $852.22 / $1,044.57 / $1,350.44	Professional		$852.22	$1,044.57	$1,350.44