Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,901.16 / $14,216.10 / $14,216.10	Professional		$2,901.16	$14,216.10	$14,216.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,538.18 / $4,538.18 / $4,538.18	Facility		$4,538.18	$4,538.18	$4,538.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,023.40 / $4,538.18 / $4,928.96	Professional		$3,023.40	$4,538.18	$4,928.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,233.02 / $4,837.30 / $5,180.18	Facility		$2,233.02	$4,837.30	$5,180.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,728.08 / $4,092.53 / $5,903.10	Professional		$2,728.08	$4,092.53	$5,903.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,869.03 / $4,837.29 / $7,920.76	Professional		$3,869.03	$4,837.29	$7,920.76