Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.64 / $855.64 / $888.26	Professional		$855.64	$855.64	$888.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,301.88 / $1,301.88 / $1,301.88	Facility		$1,301.88	$1,301.88	$1,301.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.88 / $1,301.88 / $1,301.88	Professional		$1,301.88	$1,301.88	$1,301.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,301.88 / $1,301.88 / $1,301.88	Facility		$1,301.88	$1,301.88	$1,301.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.65 / $1,301.88 / $1,834.70	Professional		$886.65	$1,301.88	$1,834.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,337.22 / $1,573.20 / $2,688.70	Professional		$1,337.22	$1,573.20	$2,688.70