Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $1,219.67 / $1,219.67	Professional		$166.57	$1,219.67	$1,219.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $332.90 / $332.90	Facility		$205.09	$332.90	$332.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $270.72 / $332.90	Professional		$205.09	$270.72	$332.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.76 / $317.05 / $332.90	Facility		$176.76	$317.05	$332.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $249.86 / $357.20	Professional		$205.09	$249.86	$357.20
United Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $158.16 / $242.05	Professional		$142.96	$158.16	$242.05