Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.47 / $1,027.48 / $3,811.19	Professional		$762.47	$1,027.48	$3,811.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.26 / $1,126.26 / $1,126.26	Facility		$1,126.26	$1,126.26	$1,126.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $1,073.79 / $1,126.26	Professional		$606.66	$1,073.79	$1,126.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.05 / $768.71 / $1,126.26	Facility		$559.05	$768.71	$1,126.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $692.94 / $1,073.79 / $1,499.40	Professional		$692.94	$1,073.79	$1,499.40
United Facility/Professional Professional Modifier Low / Median / High Price $975.72 / $1,162.56 / $1,315.77	Professional		$975.72	$1,162.56	$1,315.77