Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.42 / $2,185.42 / $2,185.42	Professional		$2,185.42	$2,185.42	$2,185.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,268.37 / $3,268.37 / $3,268.37	Facility		$3,268.37	$3,268.37	$3,268.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,268.37 / $3,268.37 / $3,268.37	Professional		$3,268.37	$3,268.37	$3,268.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,268.37 / $3,268.37 / $3,268.37	Facility		$3,268.37	$3,268.37	$3,268.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,419.62 / $2,546.77 / $3,889.90	Professional		$1,419.62	$2,546.77	$3,889.90
United Facility/Professional Professional Modifier Low / Median / High Price $2,130.13 / $2,686.42 / $4,721.79	Professional		$2,130.13	$2,686.42	$4,721.79