Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.59 / $1,920.68 / $9,419.07	Professional		$1,464.59	$1,920.68	$9,419.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,020.20 / $3,020.20 / $3,020.20	Facility		$3,020.20	$3,020.20	$3,020.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.12 / $3,020.20 / $3,020.20	Professional		$1,717.12	$3,020.20	$3,020.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,486.40 / $3,191.50 / $3,232.71	Facility		$1,486.40	$3,191.50	$3,232.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.95 / $2,716.71 / $3,918.60	Professional		$1,810.95	$2,716.71	$3,918.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,549.27 / $3,191.50 / $5,264.17	Professional		$2,549.27	$3,191.50	$5,264.17