Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.99 / $4,173.89 / $4,173.89	Professional		$836.99	$4,173.89	$4,173.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.65 / $1,266.65 / $1,266.65	Facility		$1,266.65	$1,266.65	$1,266.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.01 / $1,266.65 / $1,325.21	Professional		$871.01	$1,266.65	$1,325.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.54 / $1,422.20 / $1,494.60	Facility		$620.54	$1,422.20	$1,494.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.22 / $1,156.96 / $1,668.80	Professional		$771.22	$1,156.96	$1,668.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.88 / $1,362.31 / $2,223.69	Professional		$1,115.88	$1,362.31	$2,223.69