Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.66 / $2,686.86 / $2,686.86	Professional		$774.66	$2,686.86	$2,686.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $1,074.47 / $1,074.47	Facility		$572.20	$1,074.47	$1,074.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $873.76 / $1,074.47	Professional		$572.20	$873.76	$1,074.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $1,023.30 / $1,074.47	Facility		$427.89	$1,023.30	$1,074.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $806.44 / $1,075.25	Professional		$572.20	$806.44	$1,075.25
United Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $382.88 / $607.25	Professional		$346.06	$382.88	$607.25