Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.25 / $914.25 / $914.25	Professional		$914.25	$914.25	$914.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,082.99 / $3,082.99 / $3,082.99	Facility		$3,082.99	$3,082.99	$3,082.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,082.99 / $3,082.99 / $3,082.99	Professional		$3,082.99	$3,082.99	$3,082.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,082.99 / $3,082.99 / $3,082.99	Facility		$3,082.99	$3,082.99	$3,082.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $2,657.75 / $3,082.99	Professional		$2,551.44	$2,657.75	$3,082.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $2,551.44 / $2,551.44	Facility		$2,551.44	$2,551.44	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $2,126.19	Professional		$893.00	$893.00	$2,126.19