Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $75.88 / $75.88	Facility		$75.88	$75.88	$75.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $66.29 / $75.88	Professional		$66.29	$66.29	$75.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.10 / $67.89	Facility		$16.91	$22.10	$67.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56