Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.05 / $787.52 / $1,371.62	Professional		$724.05	$787.52	$1,371.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,371.81 / $1,371.81 / $1,371.81	Facility		$1,371.81	$1,371.81	$1,371.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.54 / $1,371.81 / $1,447.43	Professional		$719.54	$1,371.81	$1,447.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.64 / $933.13 / $1,371.81	Facility		$678.64	$933.13	$1,371.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.84 / $1,371.81 / $1,791.30	Professional		$827.84	$1,371.81	$1,791.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.01 / $1,392.72 / $2,138.83	Professional		$1,148.01	$1,392.72	$2,138.83