Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.22 / $914.22 / $1,038.34	Professional		$914.22	$914.22	$1,038.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,385.48 / $1,385.48 / $1,385.48	Facility		$1,385.48	$1,385.48	$1,385.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.48 / $1,385.48 / $1,385.48	Professional		$1,385.48	$1,385.48	$1,385.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,385.48 / $1,385.48 / $1,385.48	Facility		$1,385.48	$1,385.48	$1,385.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $1,385.48 / $2,140.23	Professional		$626.16	$1,385.48	$2,140.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $10,319.42	Facility		$1,450.00	$1,450.00	$10,319.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.36 / $1,706.87 / $2,082.94	Professional		$1,504.36	$1,706.87	$2,082.94