Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.50 / $1,092.50 / $1,092.50	Professional		$1,092.50	$1,092.50	$1,092.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.50 / $1,377.50 / $1,377.50	Facility		$1,377.50	$1,377.50	$1,377.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,364.45 / $1,377.50	Professional		$1,091.56	$1,364.45	$1,377.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,377.50 / $1,377.50 / $1,377.50	Facility		$1,377.50	$1,377.50	$1,377.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $855.00 / $1,377.50	Professional		$855.00	$855.00	$1,377.50
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $950.00	Professional		$399.00	$399.00	$950.00