Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,387.17 / $2,387.17 / $2,387.17	Professional		$2,387.17	$2,387.17	$2,387.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.91 / $3,009.91 / $3,009.91	Facility		$3,009.91	$3,009.91	$3,009.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,981.34 / $3,009.91	Professional		$2,385.08	$2,981.34	$3,009.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,009.91 / $3,009.91 / $3,009.91	Facility		$3,009.91	$3,009.91	$3,009.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $2,490.96 / $3,009.91	Professional		$2,075.80	$2,490.96	$3,009.91
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $871.84 / $2,075.80	Professional		$871.84	$871.84	$2,075.80