Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.01 / $2,587.00 / $4,064.10	Professional		$647.01	$2,587.00	$4,064.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.59 / $1,102.59 / $1,102.59	Facility		$1,102.59	$1,102.59	$1,102.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.14 / $1,102.59 / $1,907.98	Professional		$655.14	$1,102.59	$1,907.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.84 / $867.20 / $1,232.10	Facility		$525.84	$867.20	$1,232.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $1,135.56 / $1,892.24	Professional		$695.90	$1,135.56	$1,892.24
United Facility/Professional Professional Modifier Low / Median / High Price $950.33 / $1,148.54 / $1,658.03	Professional		$950.33	$1,148.54	$1,658.03