Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,265.80	Professional		$3,715.35	$3,715.35	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,715.35	Facility		$3,311.31	$3,311.31	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $5,248.07	Professional		$3,311.31	$3,715.35	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,715.35 / $6,309.57	Facility		$181.97	$3,715.35	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $3,548.13	Professional		$79.43	$125.89	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $2,818.38	Professional		$125.89	$165.96	$2,818.38