Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.06 / $4,265.22 / $4,265.22	Professional		$1,067.06	$4,265.22	$4,265.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.19 / $1,359.19 / $1,359.19	Facility		$1,359.19	$1,359.19	$1,359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.06 / $761.06 / $1,359.19	Professional		$759.06	$761.06	$1,359.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.32 / $980.00 / $1,359.19	Facility		$742.32	$980.00	$1,359.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.56 / $1,175.08 / $1,621.68	Professional		$822.56	$1,175.08	$1,621.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,490.00 / $1,490.00	Facility		$1,490.00	$1,490.00	$1,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.47 / $1,314.28 / $2,385.57	Professional		$1,112.47	$1,314.28	$2,385.57