Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $435.35 / $1,045.60	Professional		$66.02	$435.35	$1,045.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.73 / $167.73 / $199.38	Facility		$167.73	$167.73	$199.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $167.73 / $252.01	Professional		$150.96	$167.73	$252.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $167.73 / $1,045.60	Facility		$8.68	$167.73	$1,045.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $167.73 / $732.55	Professional		$167.73	$167.73	$732.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.47 / $1,129.19 / $1,764.49	Professional		$1,096.47	$1,129.19	$1,764.49