Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,670.12 / $3,356.20 / $13,079.90	Professional		$2,670.12	$3,356.20	$13,079.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,180.64 / $4,180.64 / $4,180.64	Facility		$4,180.64	$4,180.64	$4,180.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.32 / $4,180.64 / $4,532.62	Professional		$2,233.32	$4,180.64	$4,532.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,057.38 / $2,828.89 / $4,180.64	Facility		$2,057.38	$2,828.89	$4,180.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.98 / $4,180.64 / $5,435.50	Professional		$2,511.98	$4,180.64	$5,435.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,555.54 / $4,312.05 / $4,841.59	Professional		$3,555.54	$4,312.05	$4,841.59