Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,108.01 / $3,795.25 / $17,435.40	Professional		$3,108.01	$3,795.25	$17,435.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,226.97 / $5,226.97 / $5,226.97	Facility		$5,226.97	$5,226.97	$5,226.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,326.42 / $5,226.97 / $5,226.97	Professional		$4,326.42	$5,226.97	$5,226.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,226.97 / $5,226.97 / $5,226.97	Facility		$5,226.97	$5,226.97	$5,226.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,230.79 / $4,577.04 / $6,990.90	Professional		$3,230.79	$4,577.04	$6,990.90
United Facility/Professional Professional Modifier Low / Median / High Price $5,003.10 / $6,278.39 / $9,192.64	Professional		$5,003.10	$6,278.39	$9,192.64