Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,810.69 / $3,661.68 / $13,761.90	Professional		$2,810.69	$3,661.68	$13,761.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,155.39 / $4,155.39 / $4,155.39	Facility		$4,155.39	$4,155.39	$4,155.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.01 / $4,155.39 / $4,466.27	Professional		$2,216.01	$4,155.39	$4,466.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,054.78 / $2,825.32 / $4,155.39	Facility		$2,054.78	$2,825.32	$4,155.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,524.27 / $4,155.39 / $5,462.10	Professional		$2,524.27	$4,155.39	$5,462.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,577.15 / $4,294.08 / $5,517.00	Professional		$3,577.15	$4,294.08	$5,517.00