Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.36 / $1,501.36 / $1,501.36	Professional		$1,501.36	$1,501.36	$1,501.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,205.73 / $2,205.73 / $2,205.73	Facility		$2,205.73	$2,205.73	$2,205.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,205.73 / $2,205.73 / $2,205.73	Professional		$2,205.73	$2,205.73	$2,205.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,205.73 / $2,205.73 / $2,205.73	Facility		$2,205.73	$2,205.73	$2,205.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,149.87 / $2,529.38 / $4,097.10	Professional		$2,149.87	$2,529.38	$4,097.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,833.56 / $3,333.61 / $3,889.21	Professional		$2,833.56	$3,333.61	$3,889.21