Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $155.00	Facility		$130.40	$130.40	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Professional		$130.40	$130.40	$130.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $155.00	Facility		$130.40	$130.40	$155.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $130.40 / $164.98	Professional		$86.10	$130.40	$164.98
United Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $73.80 / $217.36	Professional		$62.72	$73.80	$217.36