Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.36 / $449.36 / $449.36	Professional		$449.36	$449.36	$449.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Facility		$2,827.50	$2,827.50	$2,827.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Professional		$2,827.50	$2,827.50	$2,827.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $2,827.50	Facility		$2,827.50	$2,827.50	$2,827.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,193.75 / $2,340.00 / $2,827.50	Professional		$2,193.75	$2,340.00	$2,827.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,755.00	Professional		$737.10	$737.10	$1,755.00