Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,440.92 / $3,211.97 / $12,165.10	Professional		$2,440.92	$3,211.97	$12,165.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.30 / $3,613.30 / $3,613.30	Facility		$3,613.30	$3,613.30	$3,613.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,962.14 / $3,613.30 / $3,732.37	Professional		$1,962.14	$3,613.30	$3,732.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,788.80 / $2,459.60 / $3,613.30	Facility		$1,788.80	$2,459.60	$3,613.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,201.73 / $3,613.30 / $4,764.20	Professional		$2,201.73	$3,613.30	$4,764.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,850.24 / $2,850.24 / $2,850.24	Facility		$2,850.24	$2,850.24	$2,850.24
United Facility/Professional Professional Modifier Low / Median / High Price $3,157.92 / $3,762.63 / $4,300.14	Professional		$3,157.92	$3,762.63	$4,300.14