Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,453.95 / $4,453.95 / $4,453.95	Professional		$4,453.95	$4,453.95	$4,453.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,615.85 / $5,615.85 / $5,615.85	Facility		$5,615.85	$5,615.85	$5,615.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,615.85 / $5,615.85 / $5,615.85	Professional		$5,615.85	$5,615.85	$5,615.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,615.85 / $5,615.85 / $5,615.85	Facility		$5,615.85	$5,615.85	$5,615.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $3,485.70 / $5,615.85	Professional		$3,485.70	$3,485.70	$5,615.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $3,873.00	Professional		$1,626.66	$1,626.66	$3,873.00