Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $4,131.46 / $4,131.46	Professional		$828.80	$4,131.46	$4,131.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.08 / $1,255.08 / $1,255.08	Facility		$1,255.08	$1,255.08	$1,255.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.85 / $1,255.08 / $1,329.87	Professional		$871.85	$1,255.08	$1,329.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.38 / $1,371.50 / $1,447.79	Facility		$615.38	$1,371.50	$1,447.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.78 / $1,145.79 / $1,652.70	Professional		$763.78	$1,145.79	$1,652.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.60 / $1,350.40 / $2,200.58	Professional		$1,176.60	$1,350.40	$2,200.58