Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $208.58 / $208.58	Professional		$208.58	$208.58	$208.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.49 / $305.49 / $305.49	Facility		$305.49	$305.49	$305.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.49 / $305.49 / $305.49	Professional		$305.49	$305.49	$305.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $162.58 / $305.49	Facility		$106.92	$162.58	$305.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.49 / $365.33 / $429.82	Professional		$305.49	$365.33	$429.82
United Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $321.55 / $537.41	Professional		$277.95	$321.55	$537.41