Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.64 / $4,342.46 / $4,342.46	Professional		$1,037.64	$4,342.46	$4,342.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.99 / $1,293.99 / $1,293.99	Facility		$1,293.99	$1,293.99	$1,293.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.85 / $1,293.99 / $1,390.98	Professional		$939.85	$1,293.99	$1,390.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.74 / $1,514.50 / $1,564.17	Facility		$640.74	$1,514.50	$1,564.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.64 / $1,169.57 / $1,687.00	Professional		$779.64	$1,169.57	$1,687.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.30 / $1,428.00 / $2,248.67	Professional		$1,188.30	$1,428.00	$2,248.67