Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.12 / $5,060.58 / $5,060.58	Professional		$691.12	$5,060.58	$5,060.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $1,381.23 / $1,381.23	Facility		$830.86	$1,381.23	$1,381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.86 / $1,123.24 / $1,381.23	Professional		$830.86	$1,123.24	$1,381.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.40 / $1,315.46 / $1,381.23	Facility		$733.40	$1,315.46	$1,381.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $830.86 / $1,036.68 / $1,512.78	Professional		$830.86	$1,036.68	$1,512.78
United Facility/Professional Professional Modifier Low / Median / High Price $593.15 / $656.27 / $1,004.27	Professional		$593.15	$656.27	$1,004.27