Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.37 / $7,202.97 / $7,202.97	Professional		$1,583.37	$7,202.97	$7,202.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,212.57 / $2,212.57 / $2,212.57	Facility		$2,212.57	$2,212.57	$2,212.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.46 / $2,212.57 / $2,212.57	Professional		$1,461.46	$2,212.57	$2,212.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,212.57 / $2,374.44 / $2,487.62	Facility		$2,212.57	$2,374.44	$2,487.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,353.52 / $1,917.53 / $2,928.80	Professional		$1,353.52	$1,917.53	$2,928.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,913.37 / $2,401.89 / $3,870.19	Professional		$1,913.37	$2,401.89	$3,870.19