Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46,450.00 / $46,450.00 / $46,450.00	Facility		$46,450.00	$46,450.00	$46,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $80.59 / $92.42	Professional		$73.94	$80.59	$92.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $158.13	Facility		$86.31	$86.31	$158.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $86.31	Professional		$73.94	$73.94	$86.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $86.31 / $97.60	Facility		$73.94	$86.31	$97.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $85.14 / $94.16	Professional		$73.94	$85.14	$94.16
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94