Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.51 / $846.15 / $3,272.76	Professional		$641.51	$846.15	$3,272.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.64 / $1,011.64 / $1,011.64	Facility		$1,011.64	$1,011.64	$1,011.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.49 / $951.57 / $1,011.64	Professional		$489.49	$951.57	$1,011.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.62 / $669.11 / $1,011.64	Facility		$499.62	$669.11	$1,011.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.27 / $951.57 / $1,333.50	Professional		$616.27	$951.57	$1,333.50
United Facility/Professional Professional Modifier Low / Median / High Price $862.44 / $1,017.60 / $1,163.01	Professional		$862.44	$1,017.60	$1,163.01