Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.89 / $1,348.17 / $3,402.14	Professional		$870.89	$1,348.17	$3,402.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.65 / $1,103.65 / $1,103.65	Facility		$1,103.65	$1,103.65	$1,103.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.45 / $610.70 / $1,103.65	Professional		$593.45	$610.70	$1,103.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.90 / $957.60 / $1,103.65	Facility		$634.90	$957.60	$1,103.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.05 / $948.08 / $1,321.11	Professional		$670.05	$948.08	$1,321.11
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 $857.54 / $1,046.90 / $1,263.51	Professional		$857.54	$1,046.90	$1,263.51