Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $5,572.30 / $5,572.30	Professional		$761.00	$5,572.30	$5,572.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $2,703.83 / $2,703.83	Facility		$1,206.80	$2,703.83	$2,703.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $2,198.78 / $2,703.83	Professional		$1,206.80	$2,198.78	$2,703.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.74 / $2,575.08 / $2,703.83	Facility		$1,076.74	$2,575.08	$2,703.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $2,029.35 / $2,705.80	Professional		$1,206.80	$2,029.35	$2,705.80
United Facility/Professional Professional Modifier Low / Median / High Price $870.83 / $963.51 / $1,102.95	Professional		$870.83	$963.51	$1,102.95