Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.30 / $1,983.30 / $1,983.30	Professional		$1,983.30	$1,983.30	$1,983.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,463.97 / $3,463.97 / $3,463.97	Facility		$3,463.97	$3,463.97	$3,463.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,463.97 / $3,463.97 / $3,463.97	Professional		$3,463.97	$3,463.97	$3,463.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,463.97 / $3,463.97 / $3,463.97	Facility		$3,463.97	$3,463.97	$3,463.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.04 / $2,979.16 / $4,179.13	Professional		$1,586.04	$2,979.16	$4,179.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,721.88 / $3,148.83 / $6,790.99	Professional		$2,721.88	$3,148.83	$6,790.99