Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.61 / $4,810.43 / $4,810.43	Professional		$825.61	$4,810.43	$4,810.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,510.62 / $1,510.62 / $1,510.62	Facility		$1,510.62	$1,510.62	$1,510.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.46 / $1,510.62 / $1,510.62	Professional		$962.46	$1,510.62	$1,510.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.53 / $1,510.62 / $1,543.93	Facility		$738.53	$1,510.62	$1,543.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.24 / $1,370.00 / $1,976.10	Professional		$913.24	$1,370.00	$1,976.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.84 / $1,588.03 / $2,644.58	Professional		$1,286.84	$1,588.03	$2,644.58