Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.59 / $1,048.74 / $4,073.89	Professional		$771.59	$1,048.74	$4,073.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.68 / $1,236.68 / $1,236.68	Facility		$1,236.68	$1,236.68	$1,236.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $925.96 / $1,236.68	Professional		$562.32	$925.96	$1,236.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $765.62 / $1,225.79	Facility		$612.50	$765.62	$1,225.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.32 / $1,071.13 / $1,617.00	Professional		$738.32	$1,071.13	$1,617.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.11 / $1,217.16 / $1,428.58	Professional		$938.11	$1,217.16	$1,428.58