Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $831.76 / $870.96	Facility		$173.78	$831.76	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $954.99	Professional		$95.50	$173.78	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $134.90	Professional		$89.13	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $269.15	Professional		$128.82	$194.98	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $371.54	Professional		$223.87	$223.87	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $338.84	Facility		$144.54	$204.17	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $251.19	Professional		$158.49	$194.98	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $263.03	Professional		$87.10	$107.15	$263.03