Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,727.28 / $12,475.00 / $12,475.00	Professional		$2,727.28	$12,475.00	$12,475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,789.44 / $3,789.44 / $3,789.44	Facility		$3,789.44	$3,789.44	$3,789.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.85 / $3,789.44 / $3,789.44	Professional		$2,134.85	$3,789.44	$3,789.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,471.00 / $3,582.48 / $3,789.44	Facility		$3,471.00	$3,582.48	$3,789.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,134.85 / $3,290.59 / $5,026.00	Professional		$2,134.85	$3,290.59	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,338.88 / $4,191.37 / $6,644.27	Professional		$3,338.88	$4,191.37	$6,644.27