Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.37 / $1,313.37 / $1,313.37	Professional		$1,313.37	$1,313.37	$1,313.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,655.99 / $1,655.99 / $1,655.99	Facility		$1,655.99	$1,655.99	$1,655.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.99 / $1,655.99 / $1,655.99	Professional		$1,655.99	$1,655.99	$1,655.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,655.99 / $1,655.99 / $1,655.99	Facility		$1,655.99	$1,655.99	$1,655.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,370.47 / $1,370.47 / $1,655.99	Professional		$1,370.47	$1,370.47	$1,655.99
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $479.67 / $1,142.06	Professional		$479.67	$479.67	$1,142.06