Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $2,867.91 / $3,229.88	Professional		$347.38	$2,867.91	$3,229.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.77 / $105.77 / $105.77	Facility		$105.77	$105.77	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $105.77 / $2,784.38	Professional		$100.52	$105.77	$2,784.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.77 / $120.50 / $2,784.38	Facility		$105.77	$120.50	$2,784.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $3,020.79 / $3,020.79	Professional		$105.77	$3,020.79	$3,020.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38