Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.63 / $3,071.51 / $3,071.51	Professional		$734.63	$3,071.51	$3,071.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $919.62 / $919.62	Facility		$919.62	$919.62	$919.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.17 / $919.62 / $969.03	Professional		$655.17	$919.62	$969.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.01 / $1,081.59 / $1,111.94	Facility		$455.01	$1,081.59	$1,111.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.54 / $828.89 / $1,195.59	Professional		$552.54	$828.89	$1,195.59
United Facility/Professional Professional Modifier Low / Median / High Price $848.65 / $1,008.01 / $1,595.61	Professional		$848.65	$1,008.01	$1,595.61