Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.96 / $8,921.77 / $8,921.77	Professional		$1,946.96	$8,921.77	$8,921.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,698.93 / $2,698.93 / $2,698.93	Facility		$2,698.93	$2,698.93	$2,698.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.58 / $2,698.93 / $2,698.93	Professional		$2,070.58	$2,698.93	$2,698.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,698.93 / $3,264.30 / $3,375.02	Facility		$2,698.93	$3,264.30	$3,375.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,661.50 / $2,353.83 / $3,595.20	Professional		$1,661.50	$2,353.83	$3,595.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,561.21 / $3,037.21 / $4,736.91	Professional		$2,561.21	$3,037.21	$4,736.91