Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,107.15 / $9,643.62 / $9,643.62	Professional		$2,107.15	$9,643.62	$9,643.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,930.81 / $2,930.81 / $2,930.81	Facility		$2,930.81	$2,930.81	$2,930.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,229.88 / $2,930.81 / $2,930.81	Professional		$2,229.88	$2,930.81	$2,930.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,930.81 / $3,233.34 / $3,281.85	Facility		$2,930.81	$3,233.34	$3,281.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,796.40 / $2,544.94 / $3,887.10	Professional		$1,796.40	$2,544.94	$3,887.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,575.59 / $3,233.20 / $5,135.60	Professional		$2,575.59	$3,233.20	$5,135.60