Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,162.00	Professional		$1,162.00	$1,162.00	$1,162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,253.30 / $1,868.96 / $4,762.54	Facility		$1,253.30	$1,868.96	$4,762.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $1,260.33	Professional		$659.12	$659.12	$1,260.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,253.30 / $1,868.96 / $4,762.54	Facility		$1,253.30	$1,868.96	$4,762.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.76 / $971.56 / $1,260.33	Professional		$731.76	$971.56	$1,260.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00