Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Professional		$222.24	$222.24	$222.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $280.20 / $280.20	Facility		$280.20	$280.20	$280.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $280.20 / $280.20	Professional		$94.24	$280.20	$280.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $280.20 / $280.20	Facility		$280.20	$280.20	$280.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $173.93 / $280.20	Professional		$173.93	$173.93	$280.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $193.25	Professional		$81.17	$81.17	$193.25