Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.39 / $1,007.65 / $5,297.28	Professional		$831.39	$1,007.65	$5,297.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $1,610.00 / $1,610.00	Facility		$1,610.00	$1,610.00	$1,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.20 / $1,610.00 / $2,818.59	Professional		$964.20	$1,610.00	$2,818.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.64 / $1,335.53 / $1,890.54	Facility		$991.64	$1,335.53	$1,890.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.54 / $1,621.37 / $2,701.79	Professional		$1,020.54	$1,621.37	$2,701.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.03 / $1,687.80 / $2,822.17	Professional		$1,378.03	$1,687.80	$2,822.17