Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $105.99 / $112.32	Professional		$105.99	$105.99	$112.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $82.80 / $159.10	Professional		$62.10	$82.80	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $110.88 / $149.13	Professional		$77.44	$110.88	$149.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.09	Professional		$32.34	$32.34	$147.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $106.51 / $112.78	Facility		$106.51	$106.51	$112.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $131.61 / $251.60	Professional		$93.39	$131.61	$251.60
United Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $60.41 / $191.31	Professional		$56.73	$60.41	$191.31