Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,552.00 / $2,552.00 / $2,552.00	Professional		$2,552.00	$2,552.00	$2,552.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.89 / $250.89 / $250.89	Facility		$250.89	$250.89	$250.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $248.83 / $250.89	Professional		$199.07	$248.83	$250.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.89 / $250.89 / $250.89	Facility		$250.89	$250.89	$250.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $207.64 / $250.89	Professional		$173.03	$207.64	$250.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $173.03	Professional		$72.67	$72.67	$173.03