Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.86 / $169.86 / $169.86	Facility		$169.86	$169.86	$169.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $148.40 / $169.86	Professional		$148.40	$148.40	$169.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $151.97 / $151.97	Facility		$57.45	$151.97	$151.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97