Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,742.85 / $4,742.85 / $15,936.00	Professional		$4,742.85	$4,742.85	$15,936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,672.40 / $6,672.40 / $16,960.00	Facility		$6,672.40	$6,672.40	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,672.40 / $6,672.40 / $16,960.00	Professional		$6,672.40	$6,672.40	$16,960.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,672.40 / $7,438.88 / $19,200.00	Facility		$6,672.40	$7,438.88	$19,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,672.40 / $6,672.40 / $16,960.00	Professional		$6,672.40	$6,672.40	$16,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $19,200.00 / $19,200.00 / $19,200.00	Professional		$19,200.00	$19,200.00	$19,200.00