Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $682.81 / $682.81	Professional		$151.19	$682.81	$682.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $208.74 / $208.74	Facility		$208.74	$208.74	$208.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $208.74 / $208.74	Professional		$172.03	$208.74	$208.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $273.64 / $287.16	Facility		$208.74	$273.64	$287.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $181.49 / $277.20	Professional		$128.11	$181.49	$277.20
United Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $243.04 / $367.22	Professional		$203.84	$243.04	$367.22