Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,025.00 / $4,025.00 / $4,025.00	Professional		$4,025.00	$4,025.00	$4,025.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,075.00 / $5,075.00 / $5,075.00	Facility		$5,075.00	$5,075.00	$5,075.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,075.00 / $5,075.00 / $5,075.00	Professional		$5,075.00	$5,075.00	$5,075.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,075.00 / $5,075.00 / $5,075.00	Facility		$5,075.00	$5,075.00	$5,075.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $3,150.00 / $5,075.00	Professional		$3,150.00	$3,150.00	$5,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $3,500.00	Professional		$1,470.00	$1,470.00	$3,500.00