Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $398.11 / $398.11	Facility		$363.08	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $144.54	Professional		$79.43	$97.72	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $158.49	Professional		$125.89	$128.82	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $144.54	Facility		$77.62	$131.83	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Professional		$64.57	$64.57	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $72.44	Professional		$51.29	$70.79	$72.44