Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $207.42 / $459.07	Professional		$155.51	$207.42	$459.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $266.72 / $339.75	Professional		$107.87	$266.72	$339.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $261.61 / $398.30	Professional		$167.59	$261.61	$398.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.23 / $318.64	Professional		$32.34	$38.23	$318.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $286.70 / $430.15	Professional		$188.03	$286.70	$430.15
United Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $312.62 / $516.78	Professional		$227.90	$312.62	$516.78