Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.94 / $928.75 / $4,901.52	Professional		$766.94	$928.75	$4,901.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.84 / $1,504.84 / $1,504.84	Facility		$1,504.84	$1,504.84	$1,504.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $1,504.84 / $2,667.85	Professional		$879.33	$1,504.84	$2,667.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.16 / $1,252.08 / $1,733.05	Facility		$929.16	$1,252.08	$1,733.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $937.45 / $1,531.87 / $2,552.64	Professional		$937.45	$1,531.87	$2,552.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,299.08 / $1,586.56 / $1,995.04	Professional		$1,299.08	$1,586.56	$1,995.04