Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,399.92 / $10,919.30 / $10,919.30	Professional		$2,399.92	$10,919.30	$10,919.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,338.30 / $3,338.30 / $3,338.30	Facility		$3,338.30	$3,338.30	$3,338.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.24 / $3,338.30 / $3,338.30	Professional		$1,648.24	$3,338.30	$3,338.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,644.85 / $2,801.34 / $3,338.30	Facility		$2,644.85	$2,801.34	$3,338.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,882.34 / $2,899.21 / $4,428.20	Professional		$1,882.34	$2,899.21	$4,428.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,604.16 / $3,657.40 / $5,845.99	Professional		$2,604.16	$3,657.40	$5,845.99