Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,834.17 / $8,412.95 / $8,412.95	Professional		$1,834.17	$8,412.95	$8,412.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,563.80 / $2,563.80 / $2,563.80	Facility		$2,563.80	$2,563.80	$2,563.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.88 / $2,563.80 / $2,563.80	Professional		$1,936.88	$2,563.80	$2,563.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,563.80 / $3,048.50 / $3,166.30	Facility		$2,563.80	$3,048.50	$3,166.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,566.06 / $2,218.63 / $3,388.70	Professional		$1,566.06	$2,218.63	$3,388.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,391.90 / $2,861.40 / $4,485.32	Professional		$2,391.90	$2,861.40	$4,485.32