Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $973.47 / $973.47	Professional		$132.94	$973.47	$973.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $354.27 / $354.27	Facility		$218.27	$354.27	$354.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $288.10 / $354.27	Professional		$218.27	$288.10	$354.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.11 / $337.40 / $354.27	Facility		$188.11	$337.40	$354.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $265.89 / $354.53	Professional		$218.27	$265.89	$354.53
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $168.32 / $257.58	Professional		$152.13	$168.32	$257.58