Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,252.63 / $2,252.63 / $2,252.63	Professional		$2,252.63	$2,252.63	$2,252.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,171.63 / $3,171.63 / $3,171.63	Facility		$3,171.63	$3,171.63	$3,171.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,171.63 / $3,171.63 / $3,171.63	Professional		$3,171.63	$3,171.63	$3,171.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,171.63 / $3,171.63 / $3,171.63	Facility		$3,171.63	$3,171.63	$3,171.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,638.03 / $2,765.84 / $4,224.50	Professional		$1,638.03	$2,765.84	$4,224.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,404.73 / $3,057.38 / $5,139.26	Professional		$2,404.73	$3,057.38	$5,139.26