Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.19 / $1,259.71 / $1,259.71	Professional		$363.19	$1,259.71	$1,259.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $474.82 / $474.82	Facility		$318.35	$474.82	$474.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $474.82 / $474.82	Professional		$318.35	$474.82	$474.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.78 / $452.21 / $474.82	Facility		$222.78	$452.21	$474.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $356.37 / $475.16	Professional		$318.35	$356.37	$475.16
United Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $199.36 / $307.20	Professional		$180.18	$199.36	$307.20