Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.74 / $766.74 / $766.74	Professional		$766.74	$766.74	$766.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.93 / $1,363.93 / $1,363.93	Facility		$1,363.93	$1,363.93	$1,363.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.96 / $1,363.93 / $1,363.93	Professional		$1,055.96	$1,363.93	$1,363.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.90 / $841.12 / $1,363.93	Facility		$672.90	$841.12	$1,363.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $754.73 / $1,132.20 / $1,633.10	Professional		$754.73	$1,132.20	$1,633.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.51 / $1,399.80 / $2,389.28	Professional		$1,096.51	$1,399.80	$2,389.28