Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.33 / $3,050.50 / $3,050.50	Professional		$615.33	$3,050.50	$3,050.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.35 / $934.35 / $934.35	Facility		$934.35	$934.35	$934.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.71 / $934.35 / $938.77	Professional		$631.71	$934.35	$938.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.65 / $1,003.60 / $1,055.01	Facility		$457.65	$1,003.60	$1,055.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.07 / $852.19 / $1,229.20	Professional		$568.07	$852.19	$1,229.20
United Facility/Professional Professional Modifier Low / Median / High Price $790.07 / $991.80 / $1,637.24	Professional		$790.07	$991.80	$1,637.24