Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $156.65 / $878.12	Professional		$156.65	$156.65	$878.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $308.63 / $308.63	Facility		$190.78	$308.63	$308.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $250.98 / $308.63	Professional		$190.78	$250.98	$308.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $293.93 / $308.63	Facility		$145.41	$293.93	$308.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $231.64 / $308.86	Professional		$190.78	$231.64	$308.86
United Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $130.13 / $199.13	Professional		$117.61	$130.13	$199.13