Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.81 / $5,703.40 / $5,703.40	Professional		$1,242.81	$5,703.40	$5,703.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,726.73 / $1,726.73 / $1,726.73	Facility		$1,726.73	$1,726.73	$1,726.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.71 / $1,726.73 / $1,726.73	Professional		$1,246.71	$1,726.73	$1,726.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,726.73 / $2,065.05 / $2,147.96	Facility		$1,726.73	$2,065.05	$2,147.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,062.05 / $1,504.60 / $2,298.10	Professional		$1,062.05	$1,504.60	$2,298.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.27 / $1,936.80 / $3,028.45	Professional		$1,620.27	$1,936.80	$3,028.45