Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.14 / $1,070.05 / $4,132.75	Professional		$784.14	$1,070.05	$4,132.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.97 / $1,262.97 / $1,262.97	Facility		$1,262.97	$1,262.97	$1,262.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.79 / $1,262.97 / $1,323.47	Professional		$653.79	$1,262.97	$1,323.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.99 / $860.74 / $1,262.97	Facility		$625.99	$860.74	$1,262.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.87 / $1,262.97 / $1,646.40	Professional		$760.87	$1,262.97	$1,646.40
United Facility/Professional Facility Modifier Low / Median / High Price $992.43 / $992.43 / $6,489.22	Facility		$992.43	$992.43	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.11 / $1,290.24 / $1,458.55	Professional		$1,071.11	$1,290.24	$1,458.55