Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $3,735.00	Professional		$3,735.00	$3,735.00	$3,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.50 / $1,033.26 / $2,632.98	Facility		$621.50	$1,033.26	$2,632.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.50 / $3,825.00 / $3,825.00	Professional		$621.50	$3,825.00	$3,825.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.50 / $1,033.26 / $2,632.98	Facility		$621.50	$1,033.26	$2,632.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $573.62 / $3,825.00	Professional		$382.38	$573.62	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00