Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $390.58 / $390.58	Professional		$77.39	$390.58	$390.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $116.73	Facility		$116.73	$116.73	$116.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $116.73 / $125.13	Professional		$85.96	$116.73	$125.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $139.75 / $142.94	Facility		$57.87	$139.75	$142.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $105.31 / $151.90	Professional		$70.20	$105.31	$151.90
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $126.26 / $203.49	Professional		$109.65	$126.26	$203.49