Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $195.19 / $1,000.00	Facility		$97.13	$195.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $413.75 / $413.75	Professional		$413.75	$413.75	$413.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $195.19 / $1,000.00	Facility		$97.13	$195.19	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $413.75 / $413.75	Professional		$413.75	$413.75	$413.75
United Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $149.69 / $158.49	Facility		$149.69	$149.69	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $111.04	Professional		$82.25	$82.25	$111.04