Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $2,742.96 / $2,742.96	Professional		$983.72	$2,742.96	$2,742.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.39 / $1,779.78 / $3,125.08	Facility		$1,570.39	$1,779.78	$3,125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,570.39 / $1,779.78 / $3,125.08	Facility		$1,570.39	$1,779.78	$3,125.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,379.88	Professional		$1,046.93	$1,046.93	$1,379.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20