Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $251.28 / $251.28	Facility		$251.28	$251.28	$251.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $183.00	Professional		$62.82	$62.82	$183.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Facility		$54.44	$54.44	$54.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $96.23 / $120.29	Professional		$96.23	$96.23	$120.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $83.76 / $100.51	Facility		$79.56	$83.76	$100.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $83.76 / $83.76	Professional		$68.68	$83.76	$83.76
United Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Facility		$83.76	$83.76	$83.76
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $50.26	Professional		$35.18	$35.18	$50.26