Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.17 / $1,865.17 / $1,865.17	Professional		$1,865.17	$1,865.17	$1,865.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,675.27 / $2,675.27 / $2,675.27	Facility		$2,675.27	$2,675.27	$2,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,675.27 / $2,675.27 / $2,675.27	Professional		$2,675.27	$2,675.27	$2,675.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,675.27 / $2,675.27 / $2,675.27	Facility		$2,675.27	$2,675.27	$2,675.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,616.53 / $2,425.04 / $3,693.82	Professional		$1,616.53	$2,425.04	$3,693.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,811.65 / $2,760.02 / $4,369.38	Professional		$1,811.65	$2,760.02	$4,369.38