Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.86 / $2,413.84 / $12,292.50	Professional		$2,272.86	$2,413.84	$12,292.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,732.13 / $3,732.13 / $3,732.13	Facility		$3,732.13	$3,732.13	$3,732.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,825.03 / $3,732.13 / $3,732.13	Professional		$2,825.03	$3,732.13	$3,732.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,732.13 / $4,436.89 / $4,841.79	Facility		$3,732.13	$4,436.89	$4,841.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,288.76 / $3,242.47 / $4,952.50	Professional		$2,288.76	$3,242.47	$4,952.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,481.26 / $4,202.41 / $6,542.51	Professional		$3,481.26	$4,202.41	$6,542.51