Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,015.62 / $1,015.62	Professional		$1,015.62	$1,015.62	$1,015.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $228.72 / $502.35	Facility		$228.72	$228.72	$502.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $1,040.08 / $1,040.08	Professional		$228.72	$1,040.08	$1,040.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $228.72 / $502.35	Facility		$228.72	$228.72	$502.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $234.55 / $1,143.58	Professional		$152.47	$234.55	$1,143.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70