Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,273.19 / $4,415.99 / $4,415.99	Professional		$1,273.19	$4,415.99	$4,415.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $1,605.71 / $1,605.71	Facility		$843.35	$1,605.71	$1,605.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $1,305.79 / $1,605.71	Professional		$843.35	$1,305.79	$1,605.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $1,529.25 / $1,605.71	Facility		$843.35	$1,529.25	$1,605.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $1,205.16 / $1,606.88	Professional		$843.35	$1,205.16	$1,606.88
United Facility/Professional Professional Modifier Low / Median / High Price $608.57 / $673.33 / $1,067.89	Professional		$608.57	$673.33	$1,067.89