Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.66 / $781.66 / $951.06	Professional		$781.66	$781.66	$951.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.11 / $1,164.11 / $1,164.11	Facility		$1,164.11	$1,164.11	$1,164.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.11 / $1,164.11 / $1,164.11	Professional		$1,164.11	$1,164.11	$1,164.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $541.79 / $1,164.11	Facility		$211.70	$541.79	$1,164.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.93 / $812.70 / $1,625.34	Professional		$240.93	$812.70	$1,625.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.80 / $1,388.01 / $2,032.22	Professional		$1,138.80	$1,388.01	$2,032.22