Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,009.81 / $9,796.00 / $13,782.20	Professional		$3,009.81	$9,796.00	$13,782.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,156.45 / $4,156.45 / $4,156.45	Facility		$4,156.45	$4,156.45	$4,156.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,087.23 / $4,156.45 / $4,156.45	Professional		$3,087.23	$4,156.45	$4,156.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,156.45 / $5,092.10 / $5,275.68	Facility		$4,156.45	$5,092.10	$5,275.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,565.03 / $3,633.86 / $5,550.30	Professional		$2,565.03	$3,633.86	$5,550.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,995.34 / $4,704.60 / $7,303.78	Professional		$3,995.34	$4,704.60	$7,303.78