Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.09 / $419.09 / $419.09	Facility		$419.09	$419.09	$419.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $366.15 / $419.09	Professional		$366.15	$366.15	$419.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $33.28 / $374.98	Facility		$7.61	$33.28	$374.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63