Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,589.21 / $6,266.39 / $6,893.03	Professional		$2,589.21	$6,266.39	$6,893.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,395.76 / $5,395.76 / $5,395.76	Facility		$5,395.76	$5,395.76	$5,395.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $5,395.76	Professional		$2,821.49	$2,821.49	$5,395.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,395.76 / $5,395.76 / $5,395.76	Facility		$5,395.76	$5,395.76	$5,395.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $2,821.49 / $5,395.76	Professional		$1,101.00	$2,821.49	$5,395.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,636.01 / $2,986.18 / $5,244.27	Professional		$1,636.01	$2,986.18	$5,244.27