Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $173.78	Facility		$79.43	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $63.10	Professional		$34.67	$48.98	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $63.10	Facility		$33.88	$50.12	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $31.62	Professional		$22.39	$22.39	$31.62