Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $115.02 / $642.25	Professional		$95.97	$115.02	$642.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.83 / $67.83 / $83.85	Facility	26	$67.83	$67.83	$83.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $203.50 / $264.92	Professional		$136.54	$203.50	$264.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $67.83 / $67.83 / $83.85	Facility	26	$67.83	$67.83	$83.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $176.67 / $289.11	Professional		$111.93	$176.67	$289.11
United Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $146.38 / $199.01	Professional		$113.32	$146.38	$199.01