Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $133.65 / $133.65	Facility		$133.65	$133.65	$133.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $133.65	Professional		$116.76	$116.76	$133.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.85 / $119.58 / $119.58	Facility		$110.85	$119.58	$119.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24