Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $518.60 / $898.69	Professional		$518.60	$518.60	$898.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.20 / $1,135.20 / $1,135.20	Facility		$1,135.20	$1,135.20	$1,135.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.20 / $1,135.20 / $1,135.20	Professional		$1,135.20	$1,135.20	$1,135.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,135.20 / $1,135.20 / $1,135.20	Facility		$1,135.20	$1,135.20	$1,135.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $964.26 / $1,343.12	Professional		$680.64	$964.26	$1,343.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.88 / $1,162.44 / $1,443.03	Professional		$1,003.88	$1,162.44	$1,443.03