Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.15 / $4,453.05 / $4,453.05	Professional		$608.15	$4,453.05	$4,453.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $1,590.70 / $1,590.70	Facility		$842.96	$1,590.70	$1,590.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $1,293.56 / $1,590.70	Professional		$842.96	$1,293.56	$1,590.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.12 / $1,514.95 / $1,590.70	Facility		$752.12	$1,514.95	$1,590.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $1,193.89 / $1,591.85	Professional		$842.96	$1,193.89	$1,591.85
United Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $673.03 / $1,029.90	Professional		$608.29	$673.03	$1,029.90