Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,149.57 / $2,631.68 / $9,830.77	Professional		$2,149.57	$2,631.68	$9,830.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,151.12 / $3,151.12 / $3,151.12	Facility		$3,151.12	$3,151.12	$3,151.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,668.50 / $3,151.12 / $3,384.91	Professional		$1,668.50	$3,151.12	$3,384.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,552.50 / $2,102.17 / $3,151.12	Facility		$1,552.50	$2,102.17	$3,151.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,887.30 / $3,145.69 / $4,083.80	Professional		$1,887.30	$3,145.69	$4,083.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,880.99 / $3,163.43 / $3,580.32	Professional		$2,880.99	$3,163.43	$3,580.32