Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $154.88 / $457.09	Facility		$147.91	$154.88	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $275.42	Professional		$89.13	$114.82	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $204.17	Professional		$77.62	$107.15	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Facility		$104.71	$141.25	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $208.93	Professional		$114.82	$158.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $218.78	Professional		$128.82	$134.90	$218.78