Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.90 / $1,539.90 / $1,539.90	Professional		$1,539.90	$1,539.90	$1,539.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,471.26 / $2,471.26 / $2,471.26	Facility		$2,471.26	$2,471.26	$2,471.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,471.26 / $2,471.26 / $2,471.26	Professional		$2,471.26	$2,471.26	$2,471.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.90 / $1,243.02 / $2,471.26	Facility		$554.90	$1,243.02	$2,471.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,471.26 / $2,471.26 / $2,471.26	Professional		$2,471.26	$2,471.26	$2,471.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,397.01 / $2,773.00 / $4,347.50	Professional		$2,397.01	$2,773.00	$4,347.50