Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Professional		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.69 / $2,500.69 / $2,500.69	Facility		$2,500.69	$2,500.69	$2,500.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,500.69 / $2,500.69 / $2,500.69	Professional		$2,500.69	$2,500.69	$2,500.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,500.69 / $2,500.69 / $2,500.69	Facility		$2,500.69	$2,500.69	$2,500.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $1,738.29 / $3,091.62	Professional		$348.75	$1,738.29	$3,091.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.28 / $2,246.13 / $5,025.22	Professional		$1,789.28	$2,246.13	$5,025.22