Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.20 / $945.74 / $3,643.57	Professional		$692.20	$945.74	$3,643.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.80 / $1,116.80 / $1,116.80	Facility		$1,116.80	$1,116.80	$1,116.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.92 / $1,116.80 / $1,148.29	Professional		$575.92	$1,116.80	$1,148.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.72 / $761.37 / $1,116.80	Facility		$553.72	$761.37	$1,116.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $672.23 / $1,116.80 / $1,454.60	Professional		$672.23	$1,116.80	$1,454.60
United Facility/Professional Professional Modifier Low / Median / High Price $942.35 / $1,136.63 / $1,283.20	Professional		$942.35	$1,136.63	$1,283.20