Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.02 / $1,586.02 / $1,586.02	Professional		$1,586.02	$1,586.02	$1,586.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,324.04 / $2,324.04 / $2,324.04	Facility		$2,324.04	$2,324.04	$2,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,324.04 / $2,324.04 / $2,324.04	Professional		$2,324.04	$2,324.04	$2,324.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,324.04 / $2,324.04 / $2,324.04	Facility		$2,324.04	$2,324.04	$2,324.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,324.04 / $3,269.92 / $3,375.40	Professional		$2,324.04	$3,269.92	$3,375.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,721.88 / $3,201.60 / $4,088.48	Professional		$2,721.88	$3,201.60	$4,088.48