Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,659.04 / $10,429.60 / $10,429.60	Professional		$2,659.04	$10,429.60	$10,429.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.25 / $3,235.25 / $3,235.25	Facility		$3,235.25	$3,235.25	$3,235.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.83 / $3,235.25 / $3,366.87	Professional		$1,911.83	$3,235.25	$3,366.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,601.31 / $3,435.90 / $3,651.42	Facility		$1,601.31	$3,435.90	$3,651.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,963.00 / $2,944.80 / $4,247.60	Professional		$1,963.00	$2,944.80	$4,247.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,748.08 / $3,449.73 / $5,637.85	Professional		$2,748.08	$3,449.73	$5,637.85