Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.53 / $737.59 / $807.54	Professional		$670.53	$737.59	$807.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.08 / $1,255.08 / $1,255.08	Facility		$1,255.08	$1,255.08	$1,255.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.08 / $1,255.08 / $1,255.08	Professional		$1,255.08	$1,255.08	$1,255.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,255.08 / $1,255.08 / $1,255.08	Facility		$1,255.08	$1,255.08	$1,255.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $1,255.08 / $1,765.90	Professional		$748.39	$1,255.08	$1,765.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.97 / $1,284.88 / $1,550.73	Professional		$1,142.97	$1,284.88	$1,550.73