Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,122.01 / $17,765.40 / $17,765.40	Professional		$5,122.01	$17,765.40	$17,765.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $6,461.88 / $6,461.88	Facility		$3,728.42	$6,461.88	$6,461.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,728.42 / $6,461.88 / $6,461.88	Professional		$3,728.42	$6,461.88	$6,461.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $6,154.17 / $6,461.88	Facility		$3,728.42	$6,154.17	$6,461.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,728.42 / $4,849.92 / $6,466.56	Professional		$3,728.42	$4,849.92	$6,466.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,313.71 / $2,562.50 / $4,064.11	Professional		$2,313.71	$2,562.50	$4,064.11