Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Professional		$415.00	$415.00	$415.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.60 / $786.60 / $821.99	Facility		$786.60	$786.60	$821.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $786.60	Professional		$432.81	$432.81	$786.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.60 / $786.60 / $821.99	Facility		$786.60	$786.60	$821.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $646.66 / $940.68	Professional		$432.81	$646.66	$940.68
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00