Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.38 / $3,725.93 / $3,725.93	Professional		$666.38	$3,725.93	$3,725.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.22 / $1,129.95 / $1,712.30	Facility		$840.22	$1,129.95	$1,712.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $832.20 / $840.22	Professional		$275.25	$832.20	$840.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.22 / $1,129.95 / $1,712.30	Facility		$840.22	$1,129.95	$1,712.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.51 / $521.51 / $840.22	Professional		$521.51	$521.51	$840.22
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $243.37 / $579.46	Professional		$243.37	$243.37	$579.46