Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.24 / $6,625.24 / $6,625.24	Professional		$1,443.24	$6,625.24	$6,625.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,022.23 / $2,022.23 / $2,022.23	Facility		$2,022.23	$2,022.23	$2,022.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.80 / $2,022.23 / $2,022.23	Professional		$1,392.80	$2,022.23	$2,022.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,022.23 / $2,369.25 / $2,470.55	Facility		$2,022.23	$2,369.25	$2,470.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,233.83 / $1,747.96 / $2,669.80	Professional		$1,233.83	$1,747.96	$2,669.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,247.61 / $3,535.35	Professional		$1,858.95	$2,247.61	$3,535.35