Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,893.14 / $2,893.14 / $2,893.14	Professional		$2,893.14	$2,893.14	$2,893.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,321.02 / $4,321.02 / $4,321.02	Facility		$4,321.02	$4,321.02	$4,321.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,321.02 / $4,321.02 / $4,321.02	Professional		$4,321.02	$4,321.02	$4,321.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,321.02 / $4,321.02 / $4,321.02	Facility		$4,321.02	$4,321.02	$4,321.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,507.44 / $3,761.56 / $5,731.97	Professional		$2,507.44	$3,761.56	$5,731.97
United Facility/Professional Professional Modifier Low / Median / High Price $3,415.48 / $4,287.53 / $7,166.89	Professional		$3,415.48	$4,287.53	$7,166.89