Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.32 / $15,666.90 / $15,666.90	Professional		$3,264.32	$15,666.90	$15,666.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,623.89 / $4,623.89 / $4,623.89	Facility		$4,623.89	$4,623.89	$4,623.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,136.80 / $4,623.89 / $5,009.27	Professional		$3,136.80	$4,623.89	$5,009.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,267.89 / $5,135.00 / $5,557.15	Facility		$2,267.89	$5,135.00	$5,557.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,828.36 / $4,242.97 / $6,120.10	Professional		$2,828.36	$4,242.97	$6,120.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,029.00 / $5,041.56 / $8,149.23	Professional		$4,029.00	$5,041.56	$8,149.23