Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $290.00 / $290.00	Facility		$290.00	$290.00	$290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $290.00 / $290.00	Professional		$290.00	$290.00	$290.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $290.00 / $290.00	Facility		$290.00	$290.00	$290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $290.00	Professional		$180.00	$180.00	$290.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $200.00	Professional		$84.00	$84.00	$200.00