Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $371.54 / $371.54	Facility		$338.84	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $134.90	Professional		$75.86	$104.71	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $134.90	Facility		$72.44	$107.15	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $67.61	Professional		$46.77	$46.77	$67.61