Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,223.85 / $10,178.00 / $10,178.00	Professional		$2,223.85	$10,178.00	$10,178.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,097.49 / $3,097.49 / $3,097.49	Facility		$3,097.49	$3,097.49	$3,097.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.77 / $3,097.49 / $3,097.49	Professional		$2,219.77	$3,097.49	$3,097.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,097.49 / $3,706.95 / $3,833.58	Facility		$3,097.49	$3,706.95	$3,833.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,896.36 / $2,686.55 / $4,103.39	Professional		$1,896.36	$2,686.55	$4,103.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,908.53 / $3,468.60 / $5,424.20	Professional		$2,908.53	$3,468.60	$5,424.20