Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $204.17 / $204.17	Facility		$93.33	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $74.13	Professional		$40.74	$50.12	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Professional		$70.79	$70.79	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $74.13	Facility		$40.74	$58.88	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15