Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,726.00 / $3,726.00 / $3,726.00	Professional		$3,726.00	$3,726.00	$3,726.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,698.00 / $4,698.00 / $4,698.00	Facility		$4,698.00	$4,698.00	$4,698.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,698.00 / $4,698.00 / $4,698.00	Professional		$4,698.00	$4,698.00	$4,698.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,698.00 / $4,698.00 / $4,698.00	Facility		$4,698.00	$4,698.00	$4,698.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $2,916.00 / $4,698.00	Professional		$2,916.00	$2,916.00	$4,698.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,360.80 / $3,240.00	Professional		$1,360.80	$1,360.80	$3,240.00