Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.13 / $1,200.13 / $1,200.13	Professional		$1,200.13	$1,200.13	$1,200.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.64 / $899.64 / $899.64	Facility		$899.64	$899.64	$899.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.64 / $899.64 / $899.64	Professional		$899.64	$899.64	$899.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.64 / $899.64 / $899.64	Facility		$899.64	$899.64	$899.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.64 / $1,434.92 / $3,863.30	Professional		$899.64	$1,434.92	$3,863.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,196.40 / $3,256.81 / $3,864.01	Professional		$2,196.40	$3,256.81	$3,864.01