Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.87 / $1,105.42 / $4,231.85	Professional		$857.87	$1,105.42	$4,231.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.55 / $1,366.55 / $1,366.55	Facility		$1,366.55	$1,366.55	$1,366.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.44 / $1,114.53 / $1,366.55	Professional		$446.44	$1,114.53	$1,366.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.52 / $843.15 / $1,135.97	Facility		$674.52	$843.15	$1,135.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.28 / $1,270.83 / $1,765.50	Professional		$777.28	$1,270.83	$1,765.50
United Facility/Professional Professional Modifier Low / Median / High Price $860.22 / $1,298.16 / $1,523.64	Professional		$860.22	$1,298.16	$1,523.64