Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $76.25 / $131.07	Professional		$48.85	$76.25	$131.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $133.55 / $158.75	Facility		$133.55	$133.55	$158.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Professional		$133.55	$133.55	$133.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $133.55 / $144.18	Facility		$51.62	$133.55	$144.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $179.03	Professional		$133.55	$133.55	$179.03
United Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $140.41 / $168.74	Professional		$120.51	$140.41	$168.74