Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,810.60 / $4,810.60 / $4,810.60	Professional		$4,810.60	$4,810.60	$4,810.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,065.54 / $6,065.54 / $6,065.54	Facility		$6,065.54	$6,065.54	$6,065.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,065.54 / $6,065.54 / $6,065.54	Professional		$6,065.54	$6,065.54	$6,065.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,065.54 / $6,065.54 / $6,065.54	Facility		$6,065.54	$6,065.54	$6,065.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,019.76 / $5,019.76 / $6,065.54	Professional		$5,019.76	$5,019.76	$6,065.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $1,756.91 / $4,183.13	Professional		$1,756.91	$1,756.91	$4,183.13