Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.52 / $711.53 / $3,567.08	Professional		$532.52	$711.53	$3,567.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.80 / $1,087.83 / $3,062.04	Facility		$805.80	$1,087.83	$3,062.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $523.35 / $1,183.95	Professional		$264.98	$523.35	$1,183.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.79 / $1,005.33 / $1,587.43	Facility		$401.79	$1,005.33	$1,587.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $763.39 / $1,183.95	Professional		$622.50	$763.39	$1,183.95
United Facility/Professional Professional Modifier Low / Median / High Price $485.15 / $780.89 / $1,097.09	Professional		$485.15	$780.89	$1,097.09