Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $154.38 / $154.38	Facility		$154.38	$154.38	$154.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $154.38	Professional		$134.88	$134.88	$154.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $168.20	Facility		$137.80	$137.80	$168.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96