Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $172.99 / $379.93	Facility		$172.99	$172.99	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $172.99	Professional		$137.80	$137.80	$172.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $172.99 / $379.93	Facility		$172.99	$172.99	$379.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $156.28 / $206.88	Professional		$115.31	$156.28	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96