Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,036.05 / $2,036.05 / $2,036.05	Professional		$2,036.05	$2,036.05	$2,036.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,567.19 / $2,567.19 / $2,567.19	Facility		$2,567.19	$2,567.19	$2,567.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,567.19 / $2,567.19 / $2,567.19	Professional		$2,567.19	$2,567.19	$2,567.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,567.19 / $2,567.19 / $2,567.19	Facility		$2,567.19	$2,567.19	$2,567.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,124.58 / $2,124.58 / $2,567.19	Professional		$2,124.58	$2,124.58	$2,567.19
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $743.60 / $1,770.48	Professional		$743.60	$743.60	$1,770.48