Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $588.84 / $588.84	Facility		$269.15	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $213.80	Professional		$114.82	$141.25	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $218.78	Facility		$89.13	$165.96	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Professional		$72.44	$72.44	$104.71