Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.62 / $546.62 / $546.62	Professional		$546.62	$546.62	$546.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.32 / $801.32 / $801.32	Facility		$801.32	$801.32	$801.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.32 / $801.32 / $801.32	Professional		$801.32	$801.32	$801.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.32 / $801.32 / $801.32	Facility		$801.32	$801.32	$801.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.32 / $1,066.09 / $1,125.98	Professional		$801.32	$1,066.09	$1,125.98
United Facility/Professional Professional Modifier Low / Median / High Price $776.72 / $913.79 / $1,407.84	Professional		$776.72	$913.79	$1,407.84