Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.58 / $2,495.80 / $2,495.80	Professional		$719.58	$2,495.80	$2,495.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $1,132.22 / $1,132.22	Facility		$649.92	$1,132.22	$1,132.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $920.73 / $1,132.22	Professional		$649.92	$920.73	$1,132.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $1,078.30 / $1,132.22	Facility		$450.88	$1,078.30	$1,132.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $849.78 / $1,133.04	Professional		$649.92	$849.78	$1,133.04
United Facility/Professional Professional Modifier Low / Median / High Price $364.66 / $403.46 / $621.73	Professional		$364.66	$403.46	$621.73