Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $3,959.86 / $3,959.86	Professional		$540.79	$3,959.86	$3,959.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $1,921.43 / $1,921.43	Facility		$969.19	$1,921.43	$1,921.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.19 / $1,921.43 / $1,921.43	Professional		$969.19	$1,921.43	$1,921.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.17 / $1,829.93 / $1,921.43	Facility		$765.17	$1,829.93	$1,921.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,306.31 / $1,442.12 / $1,922.82	Professional		$1,306.31	$1,442.12	$1,922.82
United Facility/Professional Professional Modifier Low / Median / High Price $618.84 / $684.70 / $1,047.78	Professional		$618.84	$684.70	$1,047.78