Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.65 / $8,015.06 / $8,015.06	Professional		$1,632.65	$8,015.06	$8,015.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,567.48 / $2,567.48 / $2,567.48	Facility		$2,567.48	$2,567.48	$2,567.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.10 / $2,567.48 / $2,769.16	Professional		$1,640.10	$2,567.48	$2,769.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,264.25 / $2,720.25 / $2,917.72	Facility		$1,264.25	$2,720.25	$2,917.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,539.21 / $2,309.06 / $3,330.60	Professional		$1,539.21	$2,309.06	$3,330.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,169.52 / $2,720.24 / $4,473.28	Professional		$2,169.52	$2,720.24	$4,473.28