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 $163.50 / $727.26 / $1,876.80	Facility		$163.50	$727.26	$1,876.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $727.26 / $1,876.80	Facility		$163.50	$727.26	$1,876.80
United Facility/Professional Facility Modifier Low / Median / High Price $650.50 / $995.27 / $1,463.63	Facility		$650.50	$995.27	$1,463.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.09 / $354.09 / $478.02	Professional		$354.09	$354.09	$478.02