Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,064.30 / $9,452.59 / $9,452.59	Professional		$2,064.30	$9,452.59	$9,452.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,877.70 / $2,877.70 / $2,877.70	Facility		$2,877.70	$2,877.70	$2,877.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,149.23 / $2,877.70 / $2,877.70	Professional		$2,149.23	$2,877.70	$2,877.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,877.70 / $3,197.35 / $3,321.26	Facility		$2,877.70	$3,197.35	$3,321.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,761.13 / $2,494.98 / $3,810.80	Professional		$1,761.13	$2,494.98	$3,810.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,521.08 / $3,197.35 / $7,686.36	Professional		$2,521.08	$3,197.35	$7,686.36