Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $141.80 / $280.02	Professional		$127.92	$141.80	$280.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $132.94 / $132.94	Facility		$132.94	$132.94	$132.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $132.94	Professional		$117.36	$117.36	$132.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $132.94 / $132.94	Facility		$132.94	$132.94	$132.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $127.33 / $166.08	Professional		$117.36	$127.33	$166.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36