Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,169.30 / $4,991.92	Professional		$4,128.02	$4,169.30	$4,991.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $4,891.35 / $4,891.35	Facility		$129.86	$4,891.35	$4,891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,891.35	Professional		$4,128.02	$4,128.02	$4,891.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $4,128.02 / $4,891.35	Facility		$62.82	$4,128.02	$4,891.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,755.64 / $5,257.39	Professional		$4,128.02	$4,755.64	$5,257.39
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02