Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.14 / $77.14 / $172.24	Facility		$77.14	$77.14	$172.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $99.48 / $171.86	Professional		$77.14	$99.48	$171.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $106.49 / $198.83	Professional		$77.33	$106.49	$198.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $157.34 / $200.09	Professional		$111.65	$157.34	$200.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.54	Professional		$32.34	$32.34	$168.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $140.81 / $150.74	Facility		$117.12	$140.81	$150.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $157.34 / $200.09	Professional		$114.62	$157.34	$200.09
United Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $136.33 / $217.46	Professional		$127.42	$136.33	$217.46