Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $89.53 / $89.53	Facility		$56.10	$89.53	$89.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $58.01 / $80.40	Professional		$56.10	$58.01	$80.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $56.10 / $56.10	Facility		$52.82	$56.10	$56.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10