Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.53 / $6,749.84 / $6,749.84	Professional		$1,622.53	$6,749.84	$6,749.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,070.07 / $2,070.07 / $2,070.07	Facility		$2,070.07	$2,070.07	$2,070.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.89 / $1,256.88 / $2,070.07	Professional		$1,241.89	$1,256.88	$2,070.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,513.07 / $2,070.07	Facility		$1,120.00	$1,513.07	$2,070.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.88 / $1,782.79 / $2,466.15	Professional		$1,256.88	$1,782.79	$2,466.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,490.00 / $1,490.00	Facility		$1,490.00	$1,490.00	$1,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,833.80 / $2,089.73 / $2,414.01	Professional		$1,833.80	$2,089.73	$2,414.01