Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,810.58 / $4,565.14 / $4,565.14	Professional		$3,810.58	$4,565.14	$4,565.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,002.18 / $4,002.18 / $4,002.18	Facility		$4,002.18	$4,002.18	$4,002.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,002.18	Professional		$3,817.28	$3,817.28	$4,002.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,002.18 / $4,002.18 / $4,002.18	Facility		$4,002.18	$4,002.18	$4,002.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,141.38 / $5,401.80	Professional		$3,817.28	$4,141.38	$5,401.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28