Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.56 / $1,098.73 / $5,784.32	Professional		$865.56	$1,098.73	$5,784.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.77 / $1,737.77 / $1,737.77	Facility		$1,737.77	$1,737.77	$1,737.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.53 / $1,737.77 / $2,994.56	Professional		$992.53	$1,737.77	$2,994.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.38 / $1,389.68 / $1,946.20	Facility		$1,017.38	$1,389.68	$1,946.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.02 / $1,754.02 / $2,922.82	Professional		$1,096.02	$1,754.02	$2,922.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.19 / $1,792.00 / $2,280.86	Professional		$1,485.19	$1,792.00	$2,280.86