Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,205.54 / $10,562.30 / $10,562.30	Professional		$3,205.54	$10,562.30	$10,562.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,843.85 / $3,843.85 / $3,843.85	Facility		$3,843.85	$3,843.85	$3,843.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,843.85 / $3,843.85 / $3,843.85	Professional		$3,843.85	$3,843.85	$3,843.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,843.85 / $3,843.85 / $3,843.85	Facility		$3,843.85	$3,843.85	$3,843.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,843.85 / $3,843.85 / $4,290.01	Professional		$3,843.85	$3,843.85	$4,290.01
United Facility/Professional Professional Modifier Low / Median / High Price $3,964.10 / $4,775.07 / $5,397.93	Professional		$3,964.10	$4,775.07	$5,397.93