Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $76.20 / $169.61	Facility		$76.20	$76.20	$169.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $112.62 / $447.00	Professional		$76.20	$112.62	$447.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $100.77 / $193.27	Professional		$76.81	$100.77	$193.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $150.97 / $187.88	Professional		$99.96	$150.97	$187.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.04	Professional		$32.34	$32.34	$168.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $124.14 / $130.35	Facility		$102.42	$124.14	$130.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $150.97 / $187.88	Professional		$102.91	$150.97	$187.88
United Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $131.04 / $212.53	Professional		$114.16	$131.04	$212.53