Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $3,680.00 / $3,680.00	Professional		$3,680.00	$3,680.00	$3,680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.93 / $231.93 / $231.93	Facility		$231.93	$231.93	$231.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $229.73 / $231.93	Professional		$183.79	$229.73	$231.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.93 / $231.93 / $231.93	Facility		$231.93	$231.93	$231.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $191.94 / $231.93	Professional		$159.94	$191.94	$231.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $67.18 / $159.94	Professional		$67.18	$67.18	$159.94