Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $1,236.00 / $1,697.00	Facility		$706.00	$1,236.00	$1,697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.00 / $547.00 / $547.00	Facility		$547.00	$547.00	$547.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.00 / $547.00 / $552.00	Facility		$547.00	$547.00	$552.00
United Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $1,059.00 / $1,107.00	Facility		$642.00	$1,059.00	$1,107.00