Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.40 / $3,394.47 / $3,394.47	Professional		$628.40	$3,394.47	$3,394.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,029.52 / $1,029.52 / $1,029.52	Facility		$1,029.52	$1,029.52	$1,029.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.12 / $1,029.52 / $1,072.75	Professional		$614.12	$1,029.52	$1,072.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $702.97 / $1,267.45	Facility		$575.28	$702.97	$1,267.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.15 / $951.57 / $1,260.68	Professional		$620.15	$951.57	$1,260.68
United Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $1,037.68 / $1,185.92	Professional		$904.20	$1,037.68	$1,185.92