Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $194.31 / $292.07	Professional		$171.43	$194.31	$292.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.25 / $229.25 / $272.50	Facility	26	$229.25	$229.25	$272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $266.43 / $779.80	Professional		$115.59	$266.43	$779.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $229.25 / $229.25 / $272.50	Facility	26	$229.25	$229.25	$272.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $304.77 / $490.47	Professional		$187.53	$304.77	$490.47
United Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $316.95 / $384.89	Professional		$266.02	$316.95	$384.89