Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $182.40 / $182.40	Facility		$182.40	$182.40	$182.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $159.36 / $182.40	Professional		$159.36	$159.36	$182.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $163.19 / $163.19	Facility		$160.00	$163.19	$163.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00