Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $253.50 / $433.97	Professional		$126.20	$253.50	$433.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $189.85 / $371.73	Professional		$137.44	$189.85	$371.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $280.41 / $479.23	Professional		$179.32	$280.41	$479.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.49 / $402.53	Professional		$32.34	$126.49	$402.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $294.70 / $491.97	Professional		$164.67	$294.70	$491.97
United Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $409.75 / $603.45	Professional		$301.56	$409.75	$603.45