Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.55 / $4,263.47 / $14,048.40	Professional		$2,527.55	$4,263.47	$14,048.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,283.68 / $4,283.68 / $4,283.68	Facility		$4,283.68	$4,283.68	$4,283.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,817.02 / $4,283.68 / $4,438.91	Professional		$2,817.02	$4,283.68	$4,438.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,091.80 / $4,619.55 / $4,998.64	Facility		$2,091.80	$4,619.55	$4,998.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,745.54 / $4,118.74 / $5,940.90	Professional		$2,745.54	$4,118.74	$5,940.90
United Facility/Professional Professional Modifier Low / Median / High Price $3,600.65 / $4,519.97 / $7,558.15	Professional		$3,600.65	$4,519.97	$7,558.15