Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $154.25 / $154.25	Professional		$154.25	$154.25	$154.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,550.41 / $3,550.41 / $3,550.41	Facility		$3,550.41	$3,550.41	$3,550.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,550.41 / $3,550.41 / $3,550.41	Professional		$3,550.41	$3,550.41	$3,550.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,550.41 / $3,550.41 / $3,550.41	Facility		$3,550.41	$3,550.41	$3,550.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $3,060.70 / $3,550.41	Professional		$2,938.27	$3,060.70	$3,550.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $2,448.56	Professional		$1,028.40	$1,028.40	$2,448.56