Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,460.22 / $4,460.22 / $4,460.22	Professional		$4,460.22	$4,460.22	$4,460.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.75 / $5,623.75 / $5,623.75	Facility		$5,623.75	$5,623.75	$5,623.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.75 / $5,623.75 / $5,623.75	Professional		$5,623.75	$5,623.75	$5,623.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,623.75 / $5,623.75 / $5,623.75	Facility		$5,623.75	$5,623.75	$5,623.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,654.14 / $4,654.14 / $5,623.75	Professional		$4,654.14	$4,654.14	$5,623.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $1,628.95 / $3,878.45	Professional		$1,628.95	$1,628.95	$3,878.45