Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.34 / $1,574.89 / $5,097.78	Professional		$863.34	$1,574.89	$5,097.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.87 / $1,637.87 / $1,637.87	Facility		$1,637.87	$1,637.87	$1,637.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.12 / $1,637.87 / $1,748.91	Professional		$889.12	$1,637.87	$1,748.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.27 / $1,637.87 / $1,767.21	Facility		$808.27	$1,637.87	$1,767.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.21 / $1,470.46 / $2,121.00	Professional		$980.21	$1,470.46	$2,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.28 / $1,725.16 / $2,851.76	Professional		$1,374.28	$1,725.16	$2,851.76