Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,412.07 / $2,839.03 / $14,968.40	Professional		$2,412.07	$2,839.03	$14,968.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,556.06 / $4,556.06 / $4,556.06	Facility		$4,556.06	$4,556.06	$4,556.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.77 / $4,556.06 / $8,287.77	Professional		$2,721.77	$4,556.06	$8,287.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,802.70 / $3,786.37 / $5,228.25	Facility		$2,802.70	$3,786.37	$5,228.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,864.64 / $4,671.09 / $7,783.71	Professional		$2,864.64	$4,671.09	$7,783.71
United Facility/Professional Professional Modifier Low / Median / High Price $3,986.06 / $4,861.43 / $6,121.52	Professional		$3,986.06	$4,861.43	$6,121.52