Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $314.97 / $314.97	Professional		$43.02	$314.97	$314.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $118.79 / $118.79	Facility		$66.72	$118.79	$118.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $118.79 / $118.79	Professional		$66.72	$118.79	$118.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $113.13 / $118.79	Facility		$55.71	$113.13	$118.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $89.15 / $118.87	Professional		$66.72	$89.15	$118.87
United Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $49.85 / $57.07	Professional		$45.06	$49.85	$57.07