Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $299.64 / $299.64	Professional		$53.59	$299.64	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $79.22 / $265.62	Facility		$67.56	$79.22	$265.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Professional		$67.56	$67.56	$67.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $79.22 / $265.62	Facility		$67.56	$79.22	$265.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $41.94 / $67.56	Professional		$41.94	$41.94	$67.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $46.60	Professional		$19.57	$19.57	$46.60