Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $57.85 / $115.71	Facility		$28.93	$57.85	$115.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $46.28 / $46.28	Professional		$28.93	$46.28	$46.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.07 / $25.07	Facility		$25.07	$25.07	$25.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $44.19 / $55.24	Professional		$17.30	$44.19	$55.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $36.64 / $46.28	Facility		$20.05	$36.64	$46.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.57 / $41.07	Professional		$31.63	$38.57	$41.07
United Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $34.71 / $34.71	Facility		$34.71	$34.71	$34.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $23.14	Professional		$16.20	$16.20	$23.14