Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,508.46 / $3,156.85 / $12,294.80	Professional		$2,508.46	$3,156.85	$12,294.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,930.36 / $3,930.36 / $3,930.36	Facility		$3,930.36	$3,930.36	$3,930.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,886.48 / $3,380.84 / $3,930.36	Professional		$1,886.48	$3,380.84	$3,930.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,934.79 / $2,602.44 / $3,930.36	Facility		$1,934.79	$2,602.44	$3,930.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,360.90 / $3,617.54 / $5,108.60	Professional		$2,360.90	$3,617.54	$5,108.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,587.58 / $3,978.80 / $4,503.14	Professional		$2,587.58	$3,978.80	$4,503.14