Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,153.76 / $10,289.20 / $10,289.20	Professional		$2,153.76	$10,289.20	$10,289.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,058.05 / $3,058.05 / $3,058.05	Facility		$3,058.05	$3,058.05	$3,058.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,025.36 / $3,058.05 / $3,278.41	Professional		$2,025.36	$3,058.05	$3,278.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,502.88 / $3,331.25 / $3,629.29	Facility		$1,502.88	$3,331.25	$3,629.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,871.12 / $2,806.98 / $4,048.80	Professional		$1,871.12	$2,806.98	$4,048.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,624.47 / $3,294.55 / $5,391.80	Professional		$2,624.47	$3,294.55	$5,391.80