Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $54.05 / $54.05	Professional		$54.05	$54.05	$54.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $68.15 / $68.15	Facility		$68.15	$68.15	$68.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $68.15 / $68.15	Professional		$68.15	$68.15	$68.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $68.15 / $68.15	Facility		$68.15	$68.15	$68.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $42.30 / $68.15	Professional		$42.30	$42.30	$68.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $47.00	Professional		$19.73	$19.73	$47.00