Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.58 / $1,865.58 / $1,865.58	Professional		$1,865.58	$1,865.58	$1,865.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,916.09 / $2,916.09 / $2,916.09	Facility		$2,916.09	$2,916.09	$2,916.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,916.09 / $2,916.09 / $2,916.09	Professional		$2,916.09	$2,916.09	$2,916.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,916.09 / $2,916.09 / $2,916.09	Facility		$2,916.09	$2,916.09	$2,916.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,916.09 / $3,638.60 / $3,846.22	Professional		$2,916.09	$3,638.60	$3,846.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,043.88 / $2,366.40 / $4,809.08	Professional		$2,043.88	$2,366.40	$4,809.08