Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $874.00	Professional		$874.00	$874.00	$874.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Facility		$1,102.00	$1,102.00	$1,102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $1,091.86 / $1,102.00	Professional		$873.50	$1,091.86	$1,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Facility		$1,102.00	$1,102.00	$1,102.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $760.00 / $950.00	Professional		$684.00	$760.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $760.00	Professional		$319.20	$319.20	$760.00