Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,847.85 / $3,577.57 / $13,955.70	Professional		$2,847.85	$3,577.57	$13,955.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,456.16 / $4,456.16 / $4,456.16	Facility		$4,456.16	$4,456.16	$4,456.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,386.09 / $4,456.16 / $4,838.75	Professional		$2,386.09	$4,456.16	$4,838.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,192.59 / $2,980.63 / $4,456.16	Facility		$2,192.59	$2,980.63	$4,456.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,678.26 / $4,456.16 / $5,795.30	Professional		$2,678.26	$4,456.16	$5,795.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,119.78 / $4,604.46 / $5,119.83	Professional		$4,119.78	$4,604.46	$5,119.83