Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.32 / $744.74 / $985.67	Professional		$675.32	$744.74	$985.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,204.60 / $1,204.60 / $1,431.88	Facility		$1,204.60	$1,204.60	$1,431.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.92 / $1,204.60 / $3,652.67	Professional		$1,023.92	$1,204.60	$3,652.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.44 / $738.17 / $1,204.60	Facility		$627.44	$738.17	$1,204.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.82 / $1,002.76 / $1,304.70	Professional		$707.82	$1,002.76	$1,304.70
United Facility/Professional Facility Modifier Low / Median / High Price $879.02 / $879.02 / $879.02	Facility		$879.02	$879.02	$879.02
United Facility/Professional Professional Modifier Low / Median / High Price $989.60 / $1,242.27 / $1,519.76	Professional		$989.60	$1,242.27	$1,519.76