Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $40.35 / $40.35	Professional		$40.35	$40.35	$40.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.73 / $377.73 / $377.73	Facility		$377.73	$377.73	$377.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.73 / $377.73 / $377.73	Professional		$377.73	$377.73	$377.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.73 / $377.73 / $377.73	Facility		$377.73	$377.73	$377.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $325.63 / $377.73	Professional		$312.60	$325.63	$377.73
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $260.50	Professional		$109.41	$109.41	$260.50