Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $389.05 / $446.16	Professional		$356.93	$389.05	$446.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.18 / $415.18 / $415.18	Facility		$415.18	$415.18	$415.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $415.18	Professional		$356.93	$356.93	$415.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $405.60 / $431.88	Facility		$356.93	$405.60	$431.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $415.18 / $454.59	Professional		$356.93	$415.18	$454.59
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93