Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.62 / $4,368.10 / $4,368.10	Professional		$867.62	$4,368.10	$4,368.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.02 / $1,325.02 / $1,325.02	Facility		$1,325.02	$1,325.02	$1,325.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.13 / $1,325.02 / $1,392.73	Professional		$891.13	$1,325.02	$1,392.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.10 / $1,417.65 / $1,554.69	Facility		$645.10	$1,417.65	$1,554.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.37 / $1,215.68 / $1,753.50	Professional		$810.37	$1,215.68	$1,753.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.31 / $1,395.84 / $2,333.76	Professional		$1,112.31	$1,395.84	$2,333.76