Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.60 / $1,767.60 / $1,767.60	Professional		$1,767.60	$1,767.60	$1,767.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,014.41 / $3,014.41 / $3,014.41	Facility		$3,014.41	$3,014.41	$3,014.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,014.41 / $3,014.41 / $3,014.41	Professional		$3,014.41	$3,014.41	$3,014.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,014.41 / $3,014.41 / $3,014.41	Facility		$3,014.41	$3,014.41	$3,014.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,014.41 / $3,506.82 / $4,125.85	Professional		$3,014.41	$3,506.82	$4,125.85
United Facility/Professional Facility Modifier Low / Median / High Price $12,100.00 / $12,100.00 / $12,100.00	Facility		$12,100.00	$12,100.00	$12,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,721.85 / $3,212.61 / $5,302.08	Professional		$2,721.85	$3,212.61	$5,302.08