Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.85 / $1,228.85 / $1,228.85	Professional		$1,228.85	$1,228.85	$1,228.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,801.39 / $1,801.39 / $1,801.39	Facility		$1,801.39	$1,801.39	$1,801.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.39 / $1,801.39 / $1,801.39	Professional		$1,801.39	$1,801.39	$1,801.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,801.39 / $1,801.39 / $1,801.39	Facility		$1,801.39	$1,801.39	$1,801.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,801.39 / $2,396.80 / $2,533.82	Professional		$1,801.39	$2,396.80	$2,533.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,697.17 / $2,006.51 / $3,260.96	Professional		$1,697.17	$2,006.51	$3,260.96