Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.34 / $1,788.61 / $1,903.48	Professional		$1,657.34	$1,788.61	$1,903.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $367.74 / $367.74	Facility		$367.74	$367.74	$367.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.51 / $367.74 / $1,640.93	Professional		$349.51	$367.74	$1,640.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $1,640.93 / $1,950.00	Facility		$367.74	$1,640.93	$1,950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $1,780.26 / $2,089.87	Professional		$367.74	$1,780.26	$2,089.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93