Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.97 / $2,463.46 / $2,463.46	Professional		$471.97	$2,463.46	$2,463.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.65 / $736.65 / $736.65	Facility		$736.65	$736.65	$736.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.55 / $736.65 / $736.65	Professional		$670.55	$736.65	$736.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.65 / $1,121.25 / $1,158.74	Facility		$736.65	$1,121.25	$1,158.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.22 / $665.48 / $980.70	Professional		$453.22	$665.48	$980.70
United Facility/Professional Facility Modifier Low / Median / High Price $625.37 / $625.37 / $625.37	Facility		$625.37	$625.37	$625.37
United Facility/Professional Professional Modifier Low / Median / High Price $728.53 / $868.63 / $1,295.92	Professional		$728.53	$868.63	$1,295.92