Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.55 / $10,739.20 / $10,739.20	Professional		$2,191.55	$10,739.20	$10,739.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,431.90 / $3,431.90 / $3,431.90	Facility		$3,431.90	$3,431.90	$3,431.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.82 / $3,431.90 / $3,727.13	Professional		$2,049.82	$3,431.90	$3,727.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.17 / $3,426.89 / $3,431.90	Facility		$1,689.17	$3,426.89	$3,431.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,061.67 / $3,092.82 / $4,461.10	Professional		$2,061.67	$3,092.82	$4,461.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,918.22 / $3,627.49 / $5,987.52	Professional		$2,918.22	$3,627.49	$5,987.52