Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,631.72 / $12,596.40 / $12,596.40	Professional		$3,631.72	$12,596.40	$12,596.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $3,842.83 / $3,842.83	Facility		$2,694.60	$3,842.83	$3,842.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,694.60 / $3,842.83 / $3,842.83	Professional		$2,694.60	$3,842.83	$3,842.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,825.53 / $3,659.84 / $3,842.83	Facility		$1,825.53	$3,659.84	$3,842.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,884.21 / $2,948.13 / $4,155.45	Professional		$2,884.21	$2,948.13	$4,155.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.42 / $1,633.54 / $2,517.23	Professional		$1,476.42	$1,633.54	$2,517.23