Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,242.50 / $2,242.50 / $2,242.50	Professional		$2,242.50	$2,242.50	$2,242.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Facility		$2,827.50	$2,827.50	$2,827.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Professional		$2,827.50	$2,827.50	$2,827.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Facility		$2,827.50	$2,827.50	$2,827.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,827.50	Professional		$2,340.00	$2,340.00	$2,827.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $1,950.00	Professional		$819.00	$819.00	$1,950.00