Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,134.41 / $14,340.00 / $14,340.00	Professional		$4,134.41	$14,340.00	$14,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $5,405.44 / $5,405.44	Facility		$3,294.10	$5,405.44	$5,405.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,294.10 / $4,395.76 / $5,405.44	Professional		$3,294.10	$4,395.76	$5,405.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,536.17 / $5,148.04 / $5,405.44	Facility		$2,536.17	$5,148.04	$5,405.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,294.10 / $4,057.02 / $5,409.36	Professional		$3,294.10	$4,057.02	$5,409.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.16 / $2,269.44 / $3,599.32	Professional		$2,051.16	$2,269.44	$3,599.32