Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $172.28 / $248.86	Professional		$108.12	$172.28	$248.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $144.82 / $356.81	Professional		$83.34	$144.82	$356.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $184.67 / $310.08	Professional		$113.83	$184.67	$310.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.64	Professional		$32.34	$32.34	$240.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.18 / $187.52 / $257.63	Facility		$125.18	$187.52	$257.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $222.88 / $413.93	Professional		$138.51	$222.88	$413.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $112.34 / $286.39	Professional		$107.40	$112.34	$286.39