Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.67 / $1,947.67 / $1,947.67	Professional		$1,947.67	$1,947.67	$1,947.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,905.05 / $2,905.05 / $2,905.05	Facility		$2,905.05	$2,905.05	$2,905.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,905.05 / $2,905.05 / $2,905.05	Professional		$2,905.05	$2,905.05	$2,905.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,905.05 / $2,905.05 / $2,905.05	Facility		$2,905.05	$2,905.05	$2,905.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,365.03 / $2,391.41 / $3,652.60	Professional		$1,365.03	$2,391.41	$3,652.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,017.97 / $2,576.14 / $4,425.10	Professional		$2,017.97	$2,576.14	$4,425.10