Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $258.37	Professional		$258.37	$258.37	$258.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.73 / $595.73 / $595.73	Facility		$595.73	$595.73	$595.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.73 / $595.73 / $595.73	Professional		$595.73	$595.73	$595.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.73 / $595.73 / $595.73	Facility		$595.73	$595.73	$595.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $595.73 / $726.48	Professional		$102.90	$595.73	$726.48
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $87.60 / $192.70	Professional		$74.45	$87.60	$192.70