Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.46 / $4,637.97 / $4,637.97	Professional		$1,109.46	$4,637.97	$4,637.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $1,382.85 / $1,382.85	Facility		$1,382.85	$1,382.85	$1,382.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.06 / $1,382.85 / $1,471.88	Professional		$1,005.06	$1,382.85	$1,471.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.14 / $1,641.25 / $1,683.72	Facility		$684.14	$1,641.25	$1,683.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $833.34 / $1,250.13 / $1,803.20	Professional		$833.34	$1,250.13	$1,803.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.75 / $1,525.80 / $2,403.15	Professional		$1,287.75	$1,525.80	$2,403.15