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 $4,640.00 / $4,640.00 / $4,640.00	Facility		$4,640.00	$4,640.00	$4,640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,640.00 / $4,640.00 / $4,640.00	Professional		$4,640.00	$4,640.00	$4,640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,640.00 / $4,640.00 / $4,640.00	Facility		$4,640.00	$4,640.00	$4,640.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $4,000.00 / $4,640.00	Professional		$3,840.00	$4,000.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,344.00 / $3,200.00	Professional		$1,344.00	$1,344.00	$3,200.00