Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.83 / $12,309.30 / $12,309.30	Professional		$2,737.83	$12,309.30	$12,309.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,756.32 / $3,756.32 / $3,756.32	Facility		$3,756.32	$3,756.32	$3,756.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,957.47 / $3,756.32 / $3,756.32	Professional		$2,957.47	$3,756.32	$3,756.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,756.32 / $4,806.75 / $5,017.62	Facility		$3,756.32	$4,806.75	$5,017.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,313.03 / $3,276.85 / $5,005.00	Professional		$2,313.03	$3,276.85	$5,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,696.68 / $4,265.39 / $6,581.35	Professional		$3,696.68	$4,265.39	$6,581.35