Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.79 / $5,167.75 / $5,167.75	Professional		$1,237.79	$5,167.75	$5,167.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,539.02 / $1,539.02 / $1,539.02	Facility		$1,539.02	$1,539.02	$1,539.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.17 / $1,539.02 / $1,641.82	Professional		$1,132.17	$1,539.02	$1,641.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.86 / $1,843.40 / $1,922.80	Facility		$760.86	$1,843.40	$1,922.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $929.09 / $1,393.78 / $2,010.40	Professional		$929.09	$1,393.78	$2,010.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,446.37 / $1,701.00 / $2,673.25	Professional		$1,446.37	$1,701.00	$2,673.25