Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.13 / $922.53 / $1,220.43	Professional		$836.13	$922.53	$1,220.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,517.98 / $1,517.98 / $1,804.38	Facility		$1,517.98	$1,517.98	$1,804.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.28 / $1,517.98 / $4,569.72	Professional		$1,290.28	$1,517.98	$4,569.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.39 / $922.53 / $1,517.98	Facility		$797.39	$922.53	$1,517.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.96 / $1,241.53 / $1,657.16	Professional		$890.96	$1,241.53	$1,657.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.56 / $1,583.86 / $1,937.66	Professional		$1,288.56	$1,583.86	$1,937.66