Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $168.88 / $193.26	Professional		$162.77	$168.88	$193.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $115.12 / $132.29	Professional		$86.34	$115.12	$132.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $215.72 / $306.95	Professional		$177.36	$215.72	$306.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $218.13 / $229.39	Professional		$218.13	$218.13	$229.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.63 / $218.91 / $297.95	Facility		$196.63	$218.91	$297.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $186.47 / $281.38	Professional		$161.84	$186.47	$281.38
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $115.02 / $225.17	Professional		$84.44	$115.02	$225.17