Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.63 / $8,589.70 / $8,589.70	Professional		$1,910.63	$8,589.70	$8,589.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,624.27 / $2,624.27 / $2,624.27	Facility		$2,624.27	$2,624.27	$2,624.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,139.51 / $2,624.27 / $2,624.27	Professional		$2,139.51	$2,624.27	$2,624.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,624.27 / $3,390.40 / $3,442.07	Facility		$2,624.27	$3,390.40	$3,442.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,615.24 / $2,288.29 / $3,495.10	Professional		$1,615.24	$2,288.29	$3,495.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,575.57 / $3,070.87 / $4,595.39	Professional		$2,575.57	$3,070.87	$4,595.39