Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,673.78 / $12,237.50 / $12,237.50	Professional		$2,673.78	$12,237.50	$12,237.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,689.54 / $3,689.54 / $3,689.54	Facility		$3,689.54	$3,689.54	$3,689.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.41 / $3,689.54 / $3,689.54	Professional		$2,543.41	$3,689.54	$3,689.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,689.54 / $4,626.74 / $4,677.39	Facility		$3,689.54	$4,626.74	$4,677.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,277.44 / $3,226.43 / $4,928.00	Professional		$2,277.44	$3,226.43	$4,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,623.88 / $4,181.39 / $6,484.23	Professional		$3,623.88	$4,181.39	$6,484.23