Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,622.34 / $11,921.30 / $11,921.30	Professional		$2,622.34	$11,921.30	$11,921.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,643.79 / $3,643.79 / $3,643.79	Facility		$3,643.79	$3,643.79	$3,643.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.06 / $3,643.79 / $3,643.79	Professional		$1,768.06	$3,643.79	$3,643.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,860.65 / $3,023.98 / $3,643.79	Facility		$2,860.65	$3,023.98	$3,643.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,053.69 / $3,167.31 / $4,837.70	Professional		$2,053.69	$3,167.31	$4,837.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,816.64 / $3,994.31 / $6,383.43	Professional		$2,816.64	$3,994.31	$6,383.43