Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $220.79 / $1,281.15	Facility		$163.55	$220.79	$1,281.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.34 / $1,036.34 / $2,013.98	Professional		$1,036.34	$1,036.34	$2,013.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $220.79 / $1,281.15	Facility		$163.55	$220.79	$1,281.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.35 / $1,036.34 / $1,964.44	Professional		$635.35	$1,036.34	$1,964.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,423.42 / $2,423.42 / $5,007.01	Professional		$2,423.42	$2,423.42	$5,007.01