Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,553.14 / $3,212.14 / $12,510.00	Professional		$2,553.14	$3,212.14	$12,510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,999.76 / $3,999.76 / $3,999.76	Facility		$3,999.76	$3,999.76	$3,999.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.46 / $3,999.76 / $4,332.99	Professional		$2,120.46	$3,999.76	$4,332.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,968.02 / $2,492.28 / $3,999.76	Facility		$1,968.02	$2,492.28	$3,999.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,402.63 / $3,999.76 / $5,198.89	Professional		$2,402.63	$3,999.76	$5,198.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,398.09 / $4,048.79 / $4,627.18	Professional		$3,398.09	$4,048.79	$4,627.18