Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $295.12	Professional		$66.07	$104.71	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $147.91	Professional		$58.88	$85.11	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $134.90	Professional		$42.66	$100.00	$134.90
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 $72.44 / $117.49 / $177.83	Facility		$72.44	$117.49	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $208.93	Professional		$91.20	$128.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $162.18	Professional		$48.98	$57.54	$162.18