Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.73 / $5,445.82 / $5,445.82	Professional		$743.73	$5,445.82	$5,445.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $2,642.46 / $2,642.46	Facility		$1,179.41	$2,642.46	$2,642.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $2,148.89 / $2,642.46	Professional		$1,179.41	$2,148.89	$2,642.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.31 / $2,516.63 / $2,642.46	Facility		$1,052.31	$2,516.63	$2,642.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $1,983.29 / $2,644.39	Professional		$1,179.41	$1,983.29	$2,644.39
United Facility/Professional Professional Modifier Low / Median / High Price $851.07 / $941.64 / $1,493.44	Professional		$851.07	$941.64	$1,493.44