Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.28 / $4,208.21 / $4,208.21	Professional		$1,213.28	$4,208.21	$4,208.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $1,586.30 / $1,586.30	Facility		$967.10	$1,586.30	$1,586.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $1,586.30 / $1,586.30	Professional		$967.10	$1,586.30	$1,586.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $1,510.76 / $1,586.30	Facility		$967.10	$1,510.76	$1,586.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $1,190.58 / $1,587.44	Professional		$967.10	$1,190.58	$1,587.44
United Facility/Professional Professional Modifier Low / Median / High Price $601.94 / $666.00 / $1,026.28	Professional		$601.94	$666.00	$1,026.28