Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $229.39 / $439.35	Professional		$144.00	$229.39	$439.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $269.83 / $377.68	Professional		$115.54	$269.83	$377.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $277.57 / $448.80	Professional		$178.33	$277.57	$448.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.94 / $357.85	Professional		$32.34	$42.94	$357.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $289.64 / $493.79	Professional		$193.09	$289.64	$493.79
United Facility/Professional Professional Modifier Low / Median / High Price $259.24 / $361.13 / $551.70	Professional		$259.24	$361.13	$551.70