Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.29 / $343.29 / $343.29	Facility		$343.29	$343.29	$343.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $102.92 / $102.92	Professional		$64.33	$102.92	$102.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $55.75 / $55.75	Facility		$55.75	$55.75	$55.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $95.30 / $102.92	Facility		$81.48	$95.30	$102.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $85.77 / $85.77	Professional		$78.15	$85.77	$85.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $40.03 / $51.46	Professional		$36.02	$40.03	$51.46