Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $1,342.79	Professional		$1,342.79	$1,342.79	$1,342.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.06 / $908.06 / $4,573.06	Facility		$908.06	$908.06	$4,573.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.06 / $1,429.07 / $1,429.07	Professional		$908.06	$1,429.07	$1,429.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.06 / $908.06 / $4,573.06	Facility		$908.06	$908.06	$4,573.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.30 / $931.20 / $1,429.07	Professional		$605.30	$931.20	$1,429.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63