Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.07 / $5,814.44 / $5,814.44	Professional		$794.07	$5,814.44	$5,814.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $2,191.69 / $2,191.69	Facility		$1,335.63	$2,191.69	$2,191.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.63 / $2,191.69 / $2,191.69	Professional		$1,335.63	$2,191.69	$2,191.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,028.32 / $2,087.32 / $2,191.69	Facility		$1,028.32	$2,087.32	$2,191.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.63 / $1,644.96 / $2,193.28	Professional		$1,335.63	$1,644.96	$2,193.28
United Facility/Professional Professional Modifier Low / Median / High Price $831.67 / $920.18 / $1,408.11	Professional		$831.67	$920.18	$1,408.11