Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $354.81	Professional		$77.62	$131.83	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $190.55	Professional		$58.88	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $162.18	Professional		$57.54	$109.65	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $194.98	Facility		$77.62	$120.23	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $147.91	Professional		$53.70	$61.66	$147.91