Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.63 / $5,385.82 / $5,385.82	Professional		$1,059.63	$5,385.82	$5,385.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.21 / $1,614.21 / $1,614.21	Facility		$1,614.21	$1,614.21	$1,614.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.02 / $1,614.21 / $1,754.15	Professional		$1,134.02	$1,614.21	$1,754.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.66 / $1,795.30 / $1,956.96	Facility		$788.66	$1,795.30	$1,956.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $986.68 / $1,480.17 / $2,135.00	Professional		$986.68	$1,480.17	$2,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.62 / $1,723.68 / $2,845.29	Professional		$1,408.62	$1,723.68	$2,845.29