Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $874.00	Professional		$874.00	$874.00	$874.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Facility		$5,220.00	$5,220.00	$5,220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Professional		$5,220.00	$5,220.00	$5,220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Facility		$5,220.00	$5,220.00	$5,220.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $4,500.00 / $5,220.00	Professional		$4,320.00	$4,500.00	$5,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $3,600.00	Professional		$1,512.00	$1,512.00	$3,600.00