Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,648.29 / $21,455.10 / $21,455.10	Professional		$4,648.29	$21,455.10	$21,455.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,422.12 / $6,422.12 / $6,422.12	Facility		$6,422.12	$6,422.12	$6,422.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.20 / $6,422.12 / $6,422.12	Professional		$1,805.20	$6,422.12	$6,422.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,050.45 / $3,140.36 / $6,422.12	Facility		$3,050.45	$3,140.36	$6,422.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,596.36 / $5,606.84 / $8,563.79	Professional		$3,596.36	$5,606.84	$8,563.79
United Facility/Professional Professional Modifier Low / Median / High Price $3,003.52 / $7,346.40 / $11,292.38	Professional		$3,003.52	$7,346.40	$11,292.38