Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,677.58 / $3,677.58 / $3,677.58	Facility		$3,677.58	$3,677.58	$3,677.58
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,401.86 / $3,247.06 / $4,230.00	Facility		$2,401.86	$3,247.06	$4,230.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00