Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,453.95 / $4,453.95 / $4,453.95	Professional		$4,453.95	$4,453.95	$4,453.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.85 / $881.85 / $881.85	Facility		$881.85	$881.85	$881.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.85 / $881.85 / $881.85	Professional		$881.85	$881.85	$881.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.85 / $881.85 / $881.85	Facility		$881.85	$881.85	$881.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $760.21 / $881.85	Professional		$729.80	$760.21	$881.85
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $608.16	Professional		$255.43	$255.43	$608.16