Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.55 / $4,695.24 / $4,695.24	Professional		$1,123.55	$4,695.24	$4,695.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.10 / $1,398.10 / $1,398.10	Facility		$1,398.10	$1,398.10	$1,398.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.53 / $1,398.10 / $1,491.67	Professional		$1,014.53	$1,398.10	$1,491.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.10 / $1,649.05 / $1,693.84	Facility		$691.10	$1,649.05	$1,693.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.36 / $1,265.18 / $1,824.90	Professional		$843.36	$1,265.18	$1,824.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.88 / $1,520.43 / $2,429.98	Professional		$1,293.88	$1,520.43	$2,429.98