Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.44 / $2,728.64 / $10,221.29	Professional		$2,052.44	$2,728.64	$10,221.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,067.52 / $3,067.52 / $3,067.52	Facility		$3,067.52	$3,067.52	$3,067.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.25 / $3,067.52 / $3,712.00	Professional		$1,814.25	$3,067.52	$3,712.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,507.62 / $2,072.98 / $3,067.52	Facility		$1,507.62	$2,072.98	$3,067.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,863.04 / $3,067.52 / $4,199.10	Professional		$1,863.04	$3,067.52	$4,199.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,689.64 / $3,304.30 / $3,984.42	Professional		$2,689.64	$3,304.30	$3,984.42