Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.92 / $1,746.92 / $1,746.92	Professional		$1,746.92	$1,746.92	$1,746.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,367.15 / $2,202.64	Professional		$1,367.15	$1,367.15	$2,202.64
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $1,519.06	Professional		$638.01	$638.01	$1,519.06