Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $672.64 / $672.64	Professional		$672.64	$672.64	$672.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $848.11 / $848.11	Facility		$848.11	$848.11	$848.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.11 / $848.11 / $848.11	Professional		$848.11	$848.11	$848.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $848.11 / $848.11	Facility		$848.11	$848.11	$848.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $526.41 / $848.11	Professional		$526.41	$526.41	$848.11
United Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $701.88 / $701.88	Facility		$701.88	$701.88	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $584.90	Professional		$245.66	$245.66	$584.90