Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $4,479.49 / $4,479.49	Professional		$1,291.50	$4,479.49	$4,479.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,467.52 / $1,467.52	Facility		$1,105.99	$1,467.52	$1,467.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.99 / $1,193.40 / $1,467.52	Professional		$1,105.99	$1,193.40	$1,467.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.71 / $1,397.64 / $1,467.52	Facility		$769.71	$1,397.64	$1,467.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,101.44 / $1,105.99 / $1,562.20	Professional		$1,101.44	$1,105.99	$1,562.20
United Facility/Professional Professional Modifier Low / Median / High Price $622.52 / $688.77 / $1,061.36	Professional		$622.52	$688.77	$1,061.36