Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $993.88 / $1,987.74	Facility		$496.94	$993.88	$1,987.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.94 / $795.10 / $795.10	Professional		$496.94	$795.10	$795.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $795.10 / $795.10	Facility		$496.94	$795.10	$795.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $543.32 / $662.58	Professional		$543.32	$543.32	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $397.55	Professional		$278.27	$278.27	$397.55