Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,071.52 / $1,071.52	Facility		$489.78	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $389.05	Professional		$213.80	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $467.74	Professional		$371.54	$371.54	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $389.05	Facility		$208.93	$323.59	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $194.98	Professional		$134.90	$151.36	$194.98