Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $284.42 / $1,649.03	Professional		$170.32	$284.42	$1,649.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.29 / $291.29 / $291.29	Facility		$291.29	$291.29	$291.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $312.52 / $660.68	Professional		$188.86	$312.52	$660.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $275.57 / $462.99	Facility		$146.79	$275.57	$462.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.60 / $444.61 / $799.19	Professional		$247.60	$444.61	$799.19
United Facility/Professional Professional Modifier Low / Median / High Price $358.43 / $485.65 / $724.06	Professional		$358.43	$485.65	$724.06