Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,951.30 / $8,865.75 / $8,865.75	Professional		$1,951.30	$8,865.75	$8,865.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,708.40 / $2,708.40 / $2,708.40	Facility		$2,708.40	$2,708.40	$2,708.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.54 / $2,708.40 / $2,708.40	Professional		$2,146.54	$2,708.40	$2,708.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,708.40 / $2,708.40 / $2,708.40	Facility		$2,708.40	$2,708.40	$2,708.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,663.11 / $2,356.12 / $3,598.70	Professional		$1,663.11	$2,356.12	$3,598.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,488.29 / $3,122.56 / $4,750.80	Professional		$2,488.29	$3,122.56	$4,750.80