Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,942.77 / $2,455.40 / $9,530.08	Professional		$1,942.77	$2,455.40	$9,530.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,054.90 / $3,054.90 / $3,054.90	Facility		$3,054.90	$3,054.90	$3,054.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.45 / $3,054.90 / $3,285.97	Professional		$1,621.45	$3,054.90	$3,285.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,504.18 / $2,045.61 / $3,054.90	Facility		$1,504.18	$2,045.61	$3,054.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,831.98 / $3,053.49 / $3,964.10	Professional		$1,831.98	$3,053.49	$3,964.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,519.40 / $3,107.44 / $4,499.34	Professional		$2,519.40	$3,107.44	$4,499.34