Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,687.64 / $12,177.70 / $12,177.70	Professional		$2,687.64	$12,177.70	$12,177.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,707.94 / $3,707.94 / $3,707.94	Facility		$3,707.94	$3,707.94	$3,707.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,561.30 / $3,707.94 / $4,089.13	Professional		$2,561.30	$3,707.94	$4,089.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,823.78 / $4,339.39 / $4,521.10	Facility		$1,823.78	$4,339.39	$4,521.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,270.00 / $3,405.35 / $4,911.89	Professional		$2,270.00	$3,405.35	$4,911.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,404.75 / $4,151.39 / $6,494.41	Professional		$3,404.75	$4,151.39	$6,494.41