Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $125.89 / $125.89	Facility		$80.91	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.56 / $113.05	Professional		$80.91	$81.56	$113.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Facility		$80.91	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.75 / $80.91 / $80.91	Facility		$77.75	$80.91	$80.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91