Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,553.99 / $5,389.95 / $5,389.95	Professional		$1,553.99	$5,389.95	$5,389.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $2,615.34 / $2,615.34	Facility		$1,167.30	$2,615.34	$2,615.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.30 / $2,126.83 / $2,615.34	Professional		$1,167.30	$2,126.83	$2,615.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.51 / $2,490.80 / $2,615.34	Facility		$1,041.51	$2,490.80	$2,615.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,167.30 / $1,962.94 / $2,617.25	Professional		$1,167.30	$1,962.94	$2,617.25
United Facility/Professional Professional Modifier Low / Median / High Price $842.33 / $931.98 / $1,478.11	Professional		$842.33	$931.98	$1,478.11