Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.36 / $449.36 / $449.36	Professional		$449.36	$449.36	$449.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,233.42 / $4,233.42 / $4,233.42	Facility		$4,233.42	$4,233.42	$4,233.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,233.42 / $4,233.42 / $4,233.42	Professional		$4,233.42	$4,233.42	$4,233.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,233.42 / $4,233.42 / $4,233.42	Facility		$4,233.42	$4,233.42	$4,233.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,649.50 / $4,233.42	Professional		$3,503.52	$3,649.50	$4,233.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $2,919.60	Professional		$1,226.23	$1,226.23	$2,919.60