Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.81 / $1,802.81 / $1,802.81	Professional		$1,802.81	$1,802.81	$1,802.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,419.21 / $2,419.21 / $2,419.21	Facility		$2,419.21	$2,419.21	$2,419.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,419.21 / $2,419.21 / $2,419.21	Professional		$2,419.21	$2,419.21	$2,419.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,419.21 / $2,419.21 / $2,419.21	Facility		$2,419.21	$2,419.21	$2,419.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,419.21 / $3,158.46 / $3,716.02	Professional		$2,419.21	$3,158.46	$3,716.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,764.71 / $3,252.61 / $4,255.92	Professional		$2,764.71	$3,252.61	$4,255.92