Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.88 / $2,866.82 / $10,753.00	Professional		$2,129.88	$2,866.82	$10,753.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.16 / $3,162.16 / $3,162.16	Facility		$3,162.16	$3,162.16	$3,162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.95 / $3,092.75 / $3,162.16	Professional		$1,518.95	$3,092.75	$3,162.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,564.30 / $2,136.14 / $3,162.16	Facility		$1,564.30	$2,136.14	$3,162.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.32 / $3,092.75 / $4,176.89	Professional		$1,930.32	$3,092.75	$4,176.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,660.61 / $3,294.47 / $3,728.63	Professional		$2,660.61	$3,294.47	$3,728.63