Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.00 / $1,413.00 / $1,413.00	Professional		$1,413.00	$1,413.00	$1,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,070.60 / $2,070.60 / $2,070.60	Facility		$2,070.60	$2,070.60	$2,070.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.60 / $2,070.60 / $2,070.60	Professional		$2,070.60	$2,070.60	$2,070.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,070.60 / $2,070.60 / $2,070.60	Facility		$2,070.60	$2,070.60	$2,070.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $1,473.40 / $2,912.59	Professional		$805.37	$1,473.40	$2,912.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,605.11 / $3,131.73 / $3,715.61	Professional		$2,605.11	$3,131.73	$3,715.61