Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.57 / $1,013.57 / $1,013.57	Professional		$1,013.57	$1,013.57	$1,013.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.09 / $1,469.09 / $1,469.09	Facility		$1,469.09	$1,469.09	$1,469.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.09 / $1,469.09 / $1,469.09	Professional		$1,469.09	$1,469.09	$1,469.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,469.09 / $1,469.09 / $1,469.09	Facility		$1,469.09	$1,469.09	$1,469.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.09 / $1,535.53 / $2,580.90	Professional		$1,469.09	$1,535.53	$2,580.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.49 / $1,821.55 / $2,500.64	Professional		$1,494.49	$1,821.55	$2,500.64