Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.73 / $1,336.22 / $6,141.04	Professional		$1,104.73	$1,336.22	$6,141.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Facility		$1,875.00	$1,875.00	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.26 / $1,875.00 / $1,875.00	Professional		$1,346.26	$1,875.00	$1,875.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,167.10 / $2,332.03	Facility		$1,875.00	$2,167.10	$2,332.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.93 / $1,619.17 / $2,473.10	Professional		$1,142.93	$1,619.17	$2,473.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,700.34 / $2,081.40 / $3,278.19	Professional		$1,700.34	$2,081.40	$3,278.19