Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.01 / $1,885.00 / $10,219.90	Professional		$1,779.01	$1,885.00	$10,219.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,110.11 / $3,110.11 / $3,110.11	Facility		$3,110.11	$3,110.11	$3,110.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,292.04 / $3,110.11 / $3,110.11	Professional		$2,292.04	$3,110.11	$3,110.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,110.11 / $3,655.60 / $3,801.33	Facility		$3,110.11	$3,655.60	$3,801.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,904.12 / $2,697.55 / $4,120.20	Professional		$1,904.12	$2,697.55	$4,120.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,868.24 / $3,483.60 / $8,354.28	Professional		$2,868.24	$3,483.60	$8,354.28