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 $2,376.52 / $2,376.52 / $2,376.52	Facility		$2,376.52	$2,376.52	$2,376.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,706.99 / $2,300.41 / $3,106.48	Facility		$1,706.99	$2,300.41	$3,106.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
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