Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,682.70 / $3,491.54 / $13,161.10	Professional		$2,682.70	$3,491.54	$13,161.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,959.27 / $3,959.27 / $3,959.27	Facility		$3,959.27	$3,959.27	$3,959.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.31 / $3,959.27 / $4,291.67	Professional		$1,759.31	$3,959.27	$4,291.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,791.32 / $2,336.92 / $3,959.27	Facility		$1,791.32	$2,336.92	$3,959.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,276.51 / $3,959.27 / $5,208.70	Professional		$2,276.51	$3,959.27	$5,208.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,183.32 / $4,104.79 / $4,691.18	Professional		$3,183.32	$4,104.79	$4,691.18